Community Health Systems Billing Specialist in Brentwood, Tennessee

Description:

The Accounts Receivable Billing Specialist is responsiblefor billing both paper and electronic primary and secondary insurance claims tothe appropriate payer, monitoring outstanding accounts and reviewing foraccuracy and completeness in order to reduce and maintain acceptable accountsreceivable.

KEY JOB RESPONSIBILITIES:

  • Bills all primary and secondary insurance claims in a timelyand accurate manner, demonstrating working knowledge of all appropriate billingforms, UB04, 1500 or state specified forms, utilizing the electronic billingsystems.Understands edits and reports.

  • Demonstrates working knowledge of federal, state, local andintermediary specific billing requirements to ensure appropriate authorizationsare completed and/or notifies appropriate person of missing or incompletebilling requirements and follows up in a timely manner.

  • Audits each bill for charges, duplications and overlappedaccounts before billing, making any necessary adjustments and documentingappropriately.Maintains and securesmedical documentations to support claims or appeals as necessary.

  • Resolves claim processing issues on a timely basis byreviewing claim inventories and taking appropriate action. Responsible formonitoring daily claim volume, holds and RTP s. Investigates and resolvemissing claim files.

  • Ensures accurate and complete “clean claim submission forboth paper and electronic claims in a timely manner.

  • Demonstrates initiative and resourcefulness by makingrecommendations and communicating trends and issues to management.

  • Maintain and notate all appropriate information anddocumentation regarding customer and account status on computer system andprovide same to others involved with collections of accounts.

  • Work in a goal-oriented environment to meet productionindicators.

SUPERVISION PROVIDED BY THIS POSITION TITLE:

No direct supervisory responsibilities

Qualifications

EDUCATION/TRAINING & EXPERIENCE:

Education - High School diploma OR equivalent.

EXPERIENCE:

  • At least 1 year prior healthcare billing experiencerequired.

  • Must be familiar with all insurance payer types.

  • In-depth understanding of medical billing and coding and theAccounts Receivable cycle.

  • Must be able to follow directions and perform work accordingto department standards when no directions are given.

  • Excellent communication, persuasion and problem-solvingskills.

  • Ability to maintain confidentiality and sensitiveinformation.

KNOWLEDGE/SKILLS/ABILITIES:

  • Analytical -Synthesizes complex or diverse information; Collects and researches data; Usesintuition and experience to complement data; Designs work flows and procedures.

  • Problem Solving - Identifies and resolves problems in atimely manner; Gathers and analyzes information skillfully; Developsalternative solutions; Works well in group problem solving situations; Usesreason even when dealing with emotional topics.

  • Oral Communication - Speaks clearly and persuasively inpositive or negative situations; Listens and gets clarification; Responds wellto questions; Demonstrates group presentation skills; Participates in meetings.

  • Written Communication - Writes clearly and informatively;Edits work for spelling and grammar; Varies writing style to meet needs;Presents numerical data effectively; Able to read and interpret writteninformation.

  • Quality - Demonstrates accuracy and thoroughness; Looks forways to improve and promote quality; Applies feedback to improve performance;Monitors own work to ensure quality.

  • Character - Demonstrates unquestionable integrity in everyaspect of work and dealing with others; Consistently models desired behaviorsand values established by the company; Respects diversity of perspective indiscussions and demonstrates an inclusive style; Demonstrates concerns for jobsafety for self and others.

  • Organizational Support - Follows policies and procedures;Completes administrative tasks correctly and on time; Supports organization'sgoals and values; Supports affirmative action and respects diversity.

  • Dependability - Follows instructions, responds to managementdirection; Takes responsibility for own actions; Keeps commitments; Commits tolong hours of work when necessary to reach goals; Completes tasks on time ornotifies appropriate person with an alternate plan.

  • Administrative Management - Continuously managesadministrative functions to ensure quality and timeliness, manages accurate andtimely activity and performance reports.

Job: Corporate Positions

Organization:

Location: TN-Brentwood

Requisition ID: 1821381