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Responsible for day-to-day billing operations, including processing claims for assigned facilities and managing clearinghouse rejections. The role involves generating daily billing reports and assisting with the A/R month-end close process.
Billing Specialist | Summit Healthcare Mgmt | Nashville, Tennessee
The Billing Specialist is responsible for the day-to-day operations involving billing. This position will work under supervision of the Manager-Billing to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in healthcare servicing multiple facilities.
About the Job:
PURPOSE STATEMENT:The Billing Specialist is responsible for the day-to-day operations involving billing. This position will work under supervision of the Manager-Billing to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in healthcare servicing multiple facilities.
Roles and Responsibilities:
ESSENTIAL FUNCTIONS:
- Billing claims for assigned facilities per the direction of the Manager-Billing.
- Generating and reviewing daily billing reports.
- Ensuring all claims are properly uploaded to clearing house on a daily basis.
- Adhering to daily billing workflow.
- Ensure that daily rebills requested are rebilled the same day of request unless additional information is needed.
- Ensuring clearing house rejections are addressed in a timely manner.
- Assists with A/R Month End close process.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or GED required.
- Three or more years of computerized medical billing experience required, with one or more years’ experience in behavioral healthcare preferred.
- Advanced knowledge of UB04 and HCFA1500 forms, CPT and ICD-10 coding.
- Working knowledge of Medicare/Medicaid guidelines preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Not Applicable.
WORK LOCATION:
This position is remote.
SUPERVISORY REQUIREMENTS:
This position is an Individual Contributor.
Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
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