Billing & Reimbursement Specialist I, TUMG Business Services jobs in United States
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Tulane University · 3 months ago

Billing & Reimbursement Specialist I, TUMG Business Services

Tulane University is a prominent educational institution, and they are seeking a Billing & Reimbursement Specialist I to represent the physicians of the Tulane University Medical Group in achieving appropriate reimbursement for medical services. The role involves initial billing, claim follow-up, resolution of rejected claims, and promoting high productivity and job satisfaction within the team.

Higher Education

Responsibilities

Represent the physicians of the Tulane University Medical Group in the realization of all appropriate reimbursement for medical services rendered to patients
Support the billing and collection activities under the direction of the Supervisor, Manager and/or Director
Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons
Responsible for initial billing, claim follow up, resolution of rejected claims, claim edits resolution, handling of special accounts and keeping management informed of trends, updates and unusual or urgent issues
Promote an environment of high productivity and job satisfaction

Qualification

ICD9CPT4 codingGovernmental billing rulesIDX billing softwareData analysisMicrosoft Office skillsOralJudgmentWritten communicationIndependent workDecision-making

Required

Familiar with governmental billing rules and regulations and other third party billing requirements
Knowledge and experience with ICD9 and CPT4 coding
Experience with personal computers, word processing (Microsoft Office skills)
Excellent oral and written communication skills
Must be able to work independently and meet deadlines
Well-developed judgment and decision-making abilities
High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience

Preferred

Three years physicians billing experience
Knowledge of group medical practice
Experience with compiling and analyzing data
Knowledge of IDX physicians billing software is a major asset

Company

Tulane University

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A member of the prestigious Association of American Universities, Tulane University is consistently ranked among the top 50 universities in the nation.

Funding

Current Stage
Late Stage
Total Funding
$8.5M
Key Investors
National Institutes of Health
2018-11-14Grant· $8.5M

Leadership Team

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Janaki Sundaresan
Co-Founder of Health Equity Fellowship
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Lekh Parekh
Co-founder and Vice President of Tulane Table Tennis Club
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Company data provided by crunchbase