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Physician Billing and Account Followup Specialist

Company: Ascension
Location: Nashville
Posted on: November 17, 2018

Job Description:

Additional Job Information Title: Account RepresentativeCity, State: Nashville,TNLocation: 20th Avenue BldgDepartment: Patient Accounting 001Additional Job Details: PRN Days. PRN Flexible.Job Description Job Summary:This position is responsible for reviewing and correcting claims in "HOLDING" status to submit clean claims to payors; researching back-end claim denials, submitting corrected claims and filing appeals with payors. The Account Representative receives payments and allowances from payers and performs data entry of payments, allowances and account adjustments.Responsibilities:

  • Works assigned physician medical claims
  • Clears front-end scrubs and submit clean claims to payors
  • Researches claim denials and ensures corrected claim is resubmitted to payor
  • Files appeals/reconsiderations to insurance companies for claims processed incorrectly
  • Identifies billing issues from denials
  • Updates patient account record to indicate actions taken on claims
  • Ability to work independently and with a team
  • Reviews and processes insurance explanation of benefits statements for accuracy. Refers debit balances to collectors and refers credit balances for resolution.
  • Reports recurring insurance payment discrepancies and works with team to resolve.
  • Reconciles bank deposits to payments entered into the financial system in a timely manner to ensure accurate account data.
  • Enters adjustments submitted in an accurate and timely manner.
  • Contribute to Mission effectiveness by promoting the spirit embodied with the Mission Statement: A. Service to the poor - Support the cause of those who lack resources for a reasonable quality of life.B. Reverence - Respect and compassion for the dignity and diversity of life.C. Integrity - Inspiring trust through personal leadership.D. Wisdom - Integrating excellence and stewardship.E. Creativity - Courageous Innovation.F. Dedication - Affirming hope and joy in our ministry.
  • All other duties as assigned. Qualifications Education:
    • High School Diploma or GED Equivalent
      • Work Experience:
        • One (1) to two (2) years of billing experience in healthcare setting preferred. Knowledge of medical and insurance technology. General clerical accounting skills. Attention to detail. Ability to maintain confidentiality. Ability to operate office equipment. Ability to handle stressful situations. Typing ability with word processing. Experience with Windows application. Composition, spelling, punctuation and grammar. Professional telephone techniques. Perform assignments independently.Equal Employment Opportunity Saint Thomas Health Services complies with all applicable federal and state laws prohibiting discrimination in hiring or employment practices on the basis of citizenship, race, color, religion, gender, age, national and ethnic origin, disability, or veteran status.No question or item on this application for employment is intended to secure information to be used for such discrimination. Information obtained through this application will be used solely to determine qualifications and suitability for employment. This application will be valid for a period of 90 days from date of completion. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.E-Verify Statement Saint Thomas Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-Verify (link to E-verify site)

          Keywords: Ascension, Nashville , Physician Billing and Account Followup Specialist, Healthcare , Nashville, Tennessee

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