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Tennova Healthcare- LaFollette Medical Center · 1 month ago

Medicare Billing Specialist- Onsite

La Follette, TN

Full-time

Onsite

Entry Level

1+ years exp

Tennova Healthcare- LaFollette Medical Center is seeking a Medicare Billing Specialist responsible for performing timely and accurate Medicare billing activities. The role involves collaborating with various teams to ensure compliance with billing regulations and assist in resolving claim discrepancies.

Emergency MedicineHealth CareHealth DiagnosticsOncologyRehabilitation

Responsibilities

Prepares and submits Medicare claims in accordance with billing guidelines and payer requirements

Validates patient coverage and benefits using tools such as Common Working File (CWF), payer portals, and internal systems

Coordinates with admissions and clinical teams to ensure complete documentation and accurate financial account setup

Tracks and monitors census data to identify discrepancies and resolve issues impacting billing

Supports the month-end billing process, including clearing system edits, resolving errors, and participating in claim reviews

Monitors co-pay responsibilities and coordinates with financial counselors for communication and collection when applicable

Ensures documentation and billing practices align with audit and compliance expectations

Escalates unresolved billing issues or delays to appropriate leadership

Performs other duties as assigned

Complies with all policies and standards

Qualification

Medicare billingBilling systemsElectronic health recordsClaims processingAudit complianceAnalytical skillsOrganizational skillsCommunication skillsTime management

Required

1-2 years of experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required