- Submission of clean claims per billing frequency as assigned by management.
- Assist with the coverage of the other facilities, as needed.
- Maintain correct and specific billing guidelines and relay any updates needed to management.
- Reconcile charges in patient accounting system to ensure that all billable charges are capture and submitted within the appropriate time frame.
- Handles rebill requests and assist with billing projects as assigned.
- Review and correct billing edits in Waystar in order for the claim to be released for submission.
- Assist in month-end close.
- Be knowledgeable of all managed care organizations (MCO)
- Accept responsibility for professional growth and development of self.
- Support facility wide performance improvement goals and objectives.
- Other duties as assigned.
- A high school diploma or an equivalent combination of education, experience, and training that provides the required knowledge, skills and abilities is required.
- Five (5) years of Business Office experience preferred with at least two (2) of those years involving healthcare office management.
- One (1) year of experience in a billing practice including exposure to verification, certification, authorization, managed care, revenue capture and relationship building with payers.
- Knowledge of medical terminology and an ability to accurately record payables, receivables, collections and data related to operations of the facility.
- Excellent oral and written communication in English; ability to perform routine numerical calculations for compiling various reports; and ability to exercise good judgment and discretion in all interpersonal contact.
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Ovation Healthcare Brentwood, United StatesWelcome to Ovation Healthcare · At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guid ...
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Diversity Health Nashville, United StatesJob Description · Job DescriptionAt Diversity Health, we are passionate about changing the face of healthcare in Nashville by supporting healthcare clinics such as Music City PrEP Clinic and Chosen Family Medicine. These clinics provide access to biomedical interventions and serv ...
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3 weeks ago
Ervin Cable Construction LLC Nashville, United StatesOverview and Essential Functions · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such ...
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Ervin Cable Nashville, United StatesOverview: · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; compile data, compu ...
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Dycom Industries Inc Nashville, United StatesOverview and Essential Functions A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; ...
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Community Health System Antioch, United StatesJob Description · ESSENTIAL DUTIES AND RESPONSIBILITIES · * Analyzes, researches and processes insurance claims through electronic claims management systems in a timely manner. · * Ensures accurate and complete clean claim submission for both paper and electronic claims · * Pro ...
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Sound Physicians Brentwood, TN, United States Full timeHeadquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, a ...
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Servpro Industries, LLC Brentwood, United StatesWhat we offer · Excellent health benefits plan, which includes medical, vision and dental options · 401(k) with company match · Company profit sharing plan · Generous paid time-off and paid holidays · Paid parental leave · Company-paid mental health benefit through Headspace · 2 ...
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Electronic Billing Specialist
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UniFirst Corporation Nashville, United StatesThe AR EDI Specialist will prepare and ensure submission of billing and AR deliverables for accounts utilizing EDI systems while managing to the required EDI related policies, procedures and systems. The person in this role works directly with the Nashville based AR EDI Superviso ...
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Billing Specialist - Brentwood, United States - Promises Behavioral Health, LLC
Description
Job Description
Job DescriptionPosition Summary
Responsibilities involve billing of institutional and professional claims to various insurance companies/payers. The biller will audit and conduct all research relating to meeting payer billing guidelines for clean claims submission. Will include the handling of the billing function for multiple facilities as assigned.
Primary Duties and Responsibilities
Job Qualifications and Requirements
Education:
Experience:
Knowledge/Skills/Abilities: