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Payor Dispute Coordinator in Knoxville, TN at TeamHealth

Date Posted: 5/12/2023

Job Snapshot

Job Description

TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.

This is a REMOTE Position!

JOB DESCRIPTION OVERVIEW:

This position is for a talented, knowledgeable, and skilled individual to work collaboratively with our team on payer audits and appeals as well as the appeals and arbitration of disputed payment amounts.  This is a unique opportunity to be included in the development and expansion of the Independent Dispute Resolution (IDR)/Arbitration Department.  The Payor Dispute Coordinator will oversee tasks delegated by the Director or Project Manager.  This position requires organization, flexibility, and the ability to prioritize tasks while working independently. 

The coordinator will participate in a wide variety of tasks and will be an instrumental member of the team requiring a positive and motivated disposition.   

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Act as a liaison with billing centers to obtain or distribute information as requested
  • Communicate with vendors by telephone or email as required
  • Process incoming invoices from vendors; code and submit for approval in a timely manner.
  • Follow up on vendor invoices as required
  • Data entry: filing payment disputes and posting offers from health plans
  • Analyze payments, prepare appeals for IDR
  • Possess the ability to make appropriate decisions regarding complicated issues for tasks assigned
  • Interact collaboratively with various team members to support activities and workflows
  • Demonstrate knowledge of physician billing; learn and understand elements of the revenue cycle
  • Possess a thorough understanding of physician billing policies, procedures, and processes as needed
  • Ability to meet deadlines in a timely manner
  • Complete special projects and other duties as assigned

Job Requirements

Job Requirements

  • High school diploma or equivalent; some college preferred.
  • Experience in physician healthcare reimbursement.
  • A strong understanding of revenue cycle management a plus
  • Proficiency in Microsoft Office required with expertise in Excel spread sheets, using formulas, pivot tables and filters is required  
  • Strong organizational, analytical, and problem-solving skills bringing unusual circumstances to the attention of a manager.
  • Must be a high energy, self-starter who is creative and outgoing.
  • Will be expected to possess or quickly acquire knowledge and understanding of the following:

          Medical professional billing guidelines and compliance

           CPT, HCPCS, ICD-10

           Reimbursement

           Payer edits

           RVUs

           Accounts Receivable

  • Ability to work with confidential information, demonstrate HIPAA Compliance.
  • Ability to work independently and work well in a fast-paced, deadline-driven environment.
  • Strong communication skills.
  • Ability to work well with others including superiors and peers.
  • Attitude and appearance that conveys professionalism, confidence, maturity, and competence.
  • Honest and ethical business conduct.

SUPERVISORY RESPONSIBILITIES:

  • None