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Job Requirements of Sr Billing Representative:
EXPERIENCE / SKILLS: Minimum two years previous medical billing experience required with emphasis on research and claim denials in Accounts Receivable.
Demonstrated knowledge of physician billing.
Demonstrated knowledge of health care reimbursement guidelines especially Medicare and Medicaid.
Knowledge of ICD-9, ICD-10 and CPT-4 coding.
Good oral and written communication.
Knowledge of appeals and reviewing policies for state and government plans.
Thorough working knowledge of physician billing policies and procedures.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
Excellent time management skills
Knowledge of Microsoft Office applications such as Excel and Word.
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
Set in a pleasant, high-volume, fast-paced office environment.
Requires constant sitting tolerance.
Involves extensive computer use.
Overtime may be required and can be mandated by Management.
TRAVEL:
Training classes and seminar attendance may require travel.
Do you meet the requirements for this job?
Sr Billing Representative
TeamHealth
Louisville, TN (Hybrid)
Full-Time
JOB DESCRIPTION OVERVIEW:
The Billing Senior Representative is responsible for maintaining accuracy and production for the departments, overseeing daily functions of employees, and training of department staff. The senior provides leadership and guidance to the representatives. The department’s goal is to examine and take action to support the provider’s interests in working outstanding AR, significant denials and appeals from insurance carriers, and processing payments and refunds.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Billing Senior Representative is responsible for maintaining accuracy and production for the departments, overseeing daily functions of employees, and training of department staff. The senior provides leadership and guidance to the representatives. The department’s goal is to examine and take action to support the provider’s interests in working outstanding AR, significant denials and appeals from insurance carriers, and processing payments and refunds.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM PIT reports daily to provide guidance to employees on effectively organizing and working assignments
- Provides training to new staff, as well as, in service training of established staff
- Reviews various denials to determine appropriate action based on carrier requirements
- Reports any consistent errors found that affects claims from being processed correctly
- Participates in departmental meetings
- Communicates daily with various members of the team
- Communicates with Billing Supervisor/Manager to keep them informed of any detected problems or changes
- Performs quality audits and provides guidance for No Activity, Denials Resolution, Appeals, Authorization, Patient Accounts, Overprovisions, and Depository staff members
- Assists with analyzing outstanding AR to provide suggestions on improving workflow.
- Assists with research, development, and documentation of appropriate denial procedures
- Assists Billing Supervisor/Manager with documentation and maintenance of production standards within the department
- Participate in meetings with Billing Supervisor/Manager to discuss production goals and progress updates
- Sends departmental daily status to Billing Supervisor/Manager and Assistant VP of AR weekly
- Reports errors or problems identified that affect accounts from being processed correctly
- Review any unusual circumstances that may include offsets, unidentified payments, refunds, etc. with Billing Supervisor/Manager
- Oversees Payment Processing representative and provides backup as needed to ensure remits are retrieved in a timely manner
- Ensures all deposits are reconciled in CCS weekly
- Processes all refunds up to $2,000 within specified time period
- Creates and updates policy and procedures for department
- Performs any and all duties as directed by Billing Supervisor/Manager
Job Requirements:
EXPERIENCE / SKILLS:
Minimum two years previous medical billing experience required with emphasis on research and claim denials in Accounts Receivable.
Demonstrated knowledge of physician billing.
Demonstrated knowledge of health care reimbursement guidelines especially Medicare and Medicaid.
Knowledge of ICD-9, ICD-10 and CPT-4 coding.
Good oral and written communication.
Knowledge of appeals and reviewing policies for state and government plans.
Thorough working knowledge of physician billing policies and procedures.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
Excellent time management skills
Knowledge of Microsoft Office applications such as Excel and Word.
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
Set in a pleasant, high-volume, fast-paced office environment.
Requires constant sitting tolerance.
Involves extensive computer use.
Overtime may be required and can be mandated by Management.
TRAVEL:
Training classes and seminar attendance may require travel.
Minimum two years previous medical billing experience required with emphasis on research and claim denials in Accounts Receivable.
Demonstrated knowledge of physician billing.
Demonstrated knowledge of health care reimbursement guidelines especially Medicare and Medicaid.
Knowledge of ICD-9, ICD-10 and CPT-4 coding.
Good oral and written communication.
Knowledge of appeals and reviewing policies for state and government plans.
Thorough working knowledge of physician billing policies and procedures.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
Excellent time management skills
Knowledge of Microsoft Office applications such as Excel and Word.
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
Set in a pleasant, high-volume, fast-paced office environment.
Requires constant sitting tolerance.
Involves extensive computer use.
Overtime may be required and can be mandated by Management.
TRAVEL:
Training classes and seminar attendance may require travel.
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