Physicians Regional Healthcare System · 21 hours ago

Billing Representative - REMOTE

Nashville, TN

Full-time

Remote

Entry Level

2+ years exp

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Responsibilities

Maintains dashboards within the practice management system by ensuring the accuracy and timely entry of information into the appropriate table spaces.

Reviews workflow dashboards and makes correction to claims to facilitate billing

Communicates with facilities to obtain prior authorization information and/ or consent forms

Researches, identifies, and rectifies any special circumstances affecting delayed submission of insurance accounts or payment of accounts

Reviews insurance information loaded by registration staff for accuracy and completeness and identifies and/or rectifies problems

Supports staff by data entry of registration information and charge entry, and verification of insurance eligibility and benefits as needed

Remains informed of statutory and regulatory changes affecting collections of receivables

Provides information related to policy and procedure or instruction on the practice management system; Escalates issues and situations within the practice management system as necessary

Qualification

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Insurance billingClaims resolutionPractice management systemsICD9 codingCPT codingExcelData entryKeyboarding

Required

2 years’ experience with insurance billing requirements and account follow-up procedures including experience researching and resolving claims denied by insurance carriers, and a general understanding of ICD9 and CPT coding; or equivalent combination of education and experience.

Knowledge of general computer applications, including Excel and keyboarding experience, and practice management systems.

High school diploma or general education degree (GED)