Jobs
>
Nashville

    Senior Account Reimbursement Specialist - Nashville, United States - Vanderbilt University Medical Center

    Vanderbilt University Medical Center
    Vanderbilt University Medical Center Nashville, United States

    1 week ago

    Default job background
    Description

    Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.


    Organization:
    PB Insurance Collections


    Job Summary:

    JOB SUMMARY
    Coordinates the billing and follow-up process between the organization, payers and patients with minimal guidance. Recognizes, researches, reconciles, and reports appropriate corrective action plans on trends related to patient account inquiries and payer denials.

    .


    KEY RESPONSIBILITIES

    • Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
    • Accesses and corrects, if needed, demographic, insurance and financial information.
    • Provides accurate account maintenance and documentation.
    • Serves as a liaison with insurance companies, third party payors, and administrative personnel.
    • Analyzes incoming financial data to identify, reconcile, and resolve patterns resulting in erroneous or no reimbursement.
    • The responsibilities listed are a general overview of the position and additional duties may be assigned.

    TECHNICAL CAPABILITIES

    • Revenue Cycle (Novice): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
    • Coding Knowledge (Novice): Ability to assign and interpret ICD10CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
    • Data Entry (Intermediate): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.


    Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.


    At our growing health system, we support each other and encourage excellence among all who are part of our workforce.

    High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.


    Core Accountabilities:

    • Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
    • Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
    • Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
    • Team Interaction: Provides informal guidance and support to less experienced team members.

    Core Capabilities
    :

    Supporting Colleagues:

    • Develops Self and Others: Continuously improves own skills by identifying development opportunities
    • Builds and Maintains Relationships:
    Seeks to understand colleagues' priorities, working styles and develops relationships across areas


    • Communicates Effectively:
    Openly shares information with others and communicates in a clear and courteous manner


    Delivering Excellent Services:

    • Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service
    • Solves Complex Problems:
    Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support


    Ensuring High Quality:

    • Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards
    • Ensures Continuous Improvement:
    Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.- Fulfills Safety and

    Regulatory Requirements:
    Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department


    Managing Resources Effectively:

    • Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide highquality work/service
    • Stewards Organizational Resources:
    Displays understanding of how personal actions will impact departmental resources. - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error


    Fostering Innovation:

    • Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact daytoday operations by offering suggestions to enhance them
    • Applies Technology:
    Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action


    • Adapts to Change:

    Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.


    Position Qualifications:

    Responsibilities:

    Certifications:

    Work Experience:
    Relevant Work Experience


    Experience Level:
    4 years


    Education:
    High School Diploma or GED

    Vanderbilt Health recognizes that diversity is essential for excellence and innovation.

    We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action.

    EOE/AA/Women/Minority/Vets/Disabled
  • Key Rehabilitation, Inc

    Clinical Reimbursement Specialist

    1 week ago

    Key Rehabilitation, Inc Nashville, United States Regular Full time

    Overview · MDS Solutions , a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist . A minumum of a Bachelor's degree in nursing or therapy is required. · The Clinical ...

  • Vanderbilt University Medical Center

    Pharm Tech Reimbursement Specialist 2

    6 days ago

    Vanderbilt University Medical Center Nashville, United States

    **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is ...

  • Milan Laser Company

    lpn

    2 days ago

    Milan Laser Company Forest Hills, United States

    About Milan Laser Hair Removal · Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. That's because we only use top of the line lasers, and all our treatments are performed by licensed medical professionals. Additionally, we guarantee our clients ...

  • Youth Villages

    Foster Care Specialist

    2 days ago

    Youth Villages Nashville, United States

    Company Overview · Youth Villages has been a national leader in the implementation of research-based treatment philosophies in the field of children's mental and behavioral health. Our commitment to helping troubled children and their families find success spans 30+ years and inc ...

  • Maryville, Inc.

    Peer Recovery Specialist

    1 week ago

    Maryville, Inc. Turnersville, United States

    Maryville Addiction Treatment Center is recognized as a leader in the field of substance use and co-occurring disorders. For more than seven decades, our holistic, evidence-based approaches have helped bring hope, health and healing to those suffering from opioid, alcohol and oth ...

  • Youth Villages

    Family Service Worker

    2 days ago

    Youth Villages Nashville, United States

    *Ask about our $2,000 Relocation Assistance* · Company Overview · Youth Villages has been a national leader in the implementation of research-based treatment philosophies in the field of children's mental and behavioral health. Our commitment to helping troubled children and thei ...

  • Upperline Health

    Medical Billing Specialist

    1 week ago

    Upperline Health West Nashville, United States

    ABOUT US · A Specialty Path to Good Health · Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients t ...

  • Generis Tek Inc.

    Administrative Services Manager

    3 days ago

    Generis Tek Inc. Nashville, United States

    Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Bhakti Lakhote at email address · can be reached on # We have Contract role for Administrative Services Manager f or our client at Nashville, TN . Please let me know if you o ...

  • Dialysis Clinic, Inc.

    REACH Patient Engagement Specialist

    3 days ago

    Dialysis Clinic, Inc. Nashville, United States

    Overview · REACH Kidney Care is a division of Dialysis Clinic, Inc. (DCI) that is responsible for leading healthcare innovation, including testing and implementing new ways to improve care for people with kidney disease. We are a passionate and hard-working team that seeks first ...

  • Health Providers Choice

    RN in Nashville, TN

    1 week ago

    Health Providers Choice Nashville, United States

    · RN SICU · Must have at least 2 years of recent experience in specialty applying for. American Heart Association BLS Certification is required. ACLS, PALS, TNCC, ENPC, NIHSS, etc. may also be required for some units (Career Placement Specialist will specify). · PID: · JOB DESC ...

  • Verona Pharma PLC

    Respiratory Sales Specialist, Nashville, TN

    1 week ago

    Verona Pharma PLC Nashville, United States

    Respiratory Sales Specialist, Nashville, TN (Nashville, TN\/Murfreesboro, TN)", "description": "Respiratory Sales Specialist, Nashville, TN (Nashville, TN\/Murfreesboro, TN) · The Company: · Our mission is to improve the health and quality of life for the millions of people affec ...

  • Nashville General Hospital

    Referral Specialist

    1 week ago

    Nashville General Hospital Nashville, United States

    · Job DutiesEstablish effective communication systems and mutually beneficial relationships with external and internal suppliers and partners. · Create and maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. · ...

  • WS Audiology Americas

    Medical Front Desk Coordinator

    1 week ago

    WS Audiology Americas Nashville, United States

    HearUSA is a leader in hearing healthcare. We are on a mission to make hearing care simpler and more accessible than ever before, setting a new standard in modern hearing care. We are taking a stand and reducing the stigma around hearing loss. · We draw on the expertise and hear ...

  • Health Providers Choice

    SONOGRAPHER in Nashville, TN

    1 day ago

    Health Providers Choice Nashville, United States

    · SONOGRAPHER Echo · Must have at least 2 years of recent experience in specialty applying for. American Heart Association BLS Certification is required. ACLS, PALS, TNCC, ENPC, NIHSS, etc. may also be required for some units (Career Placement Specialist will specify). · PID: AS ...

  • ACL Digital

    Legal Certification Specialist

    1 week ago

    ACL Digital Nashville, United States

    Location: Indianapolis, IN (Onsite) · 12 months contract · Certification Specialist supports the Division of Supplier Diversity's mission of providing equal opportunity in contracting. The certification specialist protects the integrity of the program by ensuring that only qualif ...

  • Philips

    Sales Support, Clinical Specialist VeriSight 3D ICE

    1 week ago

    Philips Nashville, United States

    Job Title · Sales Support, Clinical Specialist VeriSight 3D ICE (Intracardiac Echo) - (Tennessee) · Job Description · The VeriSight Clinical Specialist will represent our Philips' VeriSight Pro 3D ICE (Intracardiac Echo Catheter), to Interventional Cardiologists and Electrophysio ...

  • First Horizon Bank

    Banking Center Manager II

    3 days ago

    First Horizon Bank Nashville, United States

    Location: On site at location listed in job posting. · Summary · The Banking Center Manager manages all banking center employees and supervises day-to-day operations of the banking center while ensuring safety, operational soundness and excellent service levels. This position is ...

  • DEVCARE SOLUTIONS PRIVATE LIMITED

    Medicaid Eligibility clerk-HYBRID/REMOTE

    22 hours ago

    DEVCARE SOLUTIONS PRIVATE LIMITED Nashville, TN, United States

    Job Overview: · We are seeking a detail-oriented and organized Eligibility Specialist to join our team. As an Eligibility Specialist, you will be responsible for verifying patient eligibility for medical services and ensuring accurate billing and reimbursement processes. This pos ...

  • Insight Global

    Denials Specialist

    1 week ago

    Insight Global Nashville, United States

    Job Purpose: The Denials Specialist generates revenue by monitoring and pursuing payment on all unpaid and delinquent denied claims; serving as a liaison between the Provider, Payors, and Patient with regards to payment collections; and maintaining daily and monthly productivity ...

  • Insight Global

    Denials Specialist

    5 days ago

    Insight Global Nashville, United States

    3 Days Hybrid · Job Purpose: The Denials Specialist generates revenue by monitoring and pursuing payment on all unpaid and delinquent denied claims; serving as a liaison between the Provider, Payors, and Patient with regards to payment collections; and maintaining daily and month ...