Billing Specialist - Insurance Collections Focused at Elite Sports Medicine

Nashville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Mar, 26

Salary

20.0

Posted On

17 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Aging, Work Comp, Denials Communication, Claims Appeals, Claim Research, Payment Identification, Payer Communication, Denial Trends, Billing Inquiries, Team Meetings, CPT Coding, ICD-10 CM Coding, MS Office Suite, Financial Discussions, Payment Plans, Managed Care Knowledge, Insurance Billing Process

Industry

Medical Practices

Description

Job Details Job Location: Midtown - Elite - Nashville, TN 37203 Position Type: Full Time Salary Range: $17.00 - $20.00 Job Shift: Day The Insurance Collections Focused Specialist job is to focus on working aging reports. This position will become REMOTE after a successful completion of training for one week. You must live in the state of TN to apply for this position. Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) + employer match. MINIMUM ESSENTIAL JOB REQUIREMENTS Work Insurance Aging with a focus of 61 days and older aged accounts Working Work Comp Properly communicate and document denials in the practice management system Follow the guidelines set in the practice management system for follow up on reason codes and follow up dates Submit appeals for denied claims Research and resolve outstanding claim issues Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor Review payer specific communication and update necessary team members and departments Identify trends in denials and communicate to your supervisor Respond to written and telephone billing inquires from patients Participate in weekly team meetings Other miscellanenous tasks delegated by management KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS High school diploma required College education or trade school preferred Experience working in a physician office or hospital billing-type position preferred Orthopedic claims experience is preferred Proven record of discussing financial responsibilities and establishing payment plans when necessary Comfortable using email and interacting various applications Knowledge of Billing and Collections procedures Knowledge of CPT and ICD-1O CM coding Knowledge of MS Office Suite, especially Word, Excel and Outlook Excellent written and verbal communication abilities Goal-oriented and strong attention to details Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement Proven knowledge of Explanation of Benefits forms, claim forms and insurance billing process We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.

Responsibilities

The Billing Specialist will focus on working aging reports and managing insurance collections. Responsibilities include communicating denials, submitting appeals, and resolving outstanding claim issues.