Billing Specialist / RSC - Tennessee
Location: Knoxville Tennessee
Description: Health Management Associates is hiring Billing Specialist / RSC - Tennessee right now, this career will be placed in Tennessee. For detail informations about this career opportunity kindly see the descriptions. ESSENTIAL JOB FUNCTIONS:
Bills all primary and secondary insurance claims in a timely and accurate manner
Demonstrates working knowledge of all appropriate billing forms, UB04, 1500 or state specified forms
Demonstrates working knowledge of the electronic billing system with and understanding of edits and reports
Working knowledge of federal, state, local and intermediary specific billing requirements to ensure appropriate authorizations are completed and/or notifies appropriate person of missing or incomplete! billing requirements and follows up in a timely manner
Resolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action
Ensures accurate and complete clean claim submission for both paper and electronic claims in a timely manner
Maintains currency in regards to methods of billing, laws, or hospital rules relating to insurance claims and electronic submission claims
Completes the SSI daily balancing to completion each day
Communicates timely and in a professional manner with the Billing Services Manager for any issues or billing delays identified
Communicates with the Billing Service Manager for any charging trends or edit trends and provide examples and education to other departments (such as ancillary, patient access) to reduce errors
Responsible for maintaining pe! rformance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met
Work is performed under tight deadlines
Maintaining current knowledge and understanding of government rules, regulations
Ability to work with technology necessary to complete job effectively. This includes, but is not limited to, SSI, phone technology, PULSE/DAR products, eligibility tools, claim status, and scanning technology
Ability to perform all other duties as assigned or requested
Job Requirements
EDUCATION, SKILLS & EXPERIENCE:
Education:
High School graduate or equivalent
Experience:
Minimum one (1) year billing experience in a medical facility, ambulatory surgery facility, or acute-care hospital
Knowledge of CPT, HCPCS, ICD-9 and medical terminology
Administrative Skills:
Excellent interpersonal skills require! d to communicate with direct staff and internal/external customers
!
Must possess excellent time management and organizational skills
Demonstrated critical thinking, creativity, problem solving and decision-making skills
Facility
RSC - Tennessee
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Health Management Associates.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sat, 30 Nov 2013 06:52:41 GMT