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AdamsPlace

Billing Specialist

AdamsPlace, Knoxville, Tennessee, United States, 37955

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Billing Specialist

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AdamsPlace

Position: Billing Specialist

Pay: $18.50 / hr. - $20.00 / hr Depending on experience

The Billing Specialist is responsible to generate and bill clean claims, as well as, for follow-up of timely and accurate payments of patient accounts.

Benefits

Competitive Pay

Eligible for benefits within 60 days

Health Benefits (Medical, Dental, Vision); health savings account

Earned Time Off

401 (K) plan with company match

Paid Training

Mileage Reimbursement

Tuition Reimbursement

Flexible Scheduling

Career Advancement Opportunities

Responsibilities

Prepares and maintains patient billing files.

Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program.

Participates in the quality program (IOP).

Reviews and edits claims prior to billing to ensure accurate and clean claim submission.

Meets all billing and accounts receivable deadlines.

Prepares and distributes unsubmitted billing list to appropriate personnel weekly.

Reviews all remittance advices for contractual adjustments, withholds and bad debt. Attaches documentation for justification, as needed.

Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary.

Documents all accounts receivable follow-up and maintains in patient billing file.

Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program.

Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily.

On a quarterly basis and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office.

Responsible for taking and processing of referrals, when needed.

Responsible to supervise Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement

Maintains branch locations monthly unbilled if assigned.

Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care.

Qualifications High school graduate or the equivalent preferred.

Must be experienced with PCs and be familiar with common office software, such as Microsoft Office and spreadsheets, etc.

Must be well organized and detail-oriented.

Must be able to communicate articulately and comprehend written and verbal communications.

If you see yourself a good fit and want to join our team apply today! Caris is an affiliate of NHC. Caris / NHC is an Equal Opportunity Employer.

Seniority level Entry level

Employment type Full-time

Job function Accounting/Auditing and Finance

Industries Hospitals and Health Care

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