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Tanner Health · 23 hours ago

Accounts Research Specialist - TMG Billing (Days)

Carrollton, GA

Full-time

Onsite

Entry Level

2+ years exp

Tanner Health is a healthcare organization seeking an Accounts Research Specialist. The role involves managing follow-ups on various insurance claims, reviewing aging reports, and resolving billing issues effectively.

AssociationHealth Care

Responsibilities

Responsible for day to day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims, and the review of aging reports to identify and resolve problem areas

Also includes the working of all rejections and denials accurately and efficiently

Necessary to prioritize work, formulate a plan of action, and analyze results, as well as communicate trends and billing coding issues

Qualification

InsurancePatient billingCPT & ICD CodingAccounts Receivable (AR) analysisCommunication skillsTeamworkOrganizational skillsIntegrity

Required

High School Diploma or GED

Two years of related experience

Requires working knowledge of specialized practices, equipment, and procedures

Ability to meticulously organize, analyze, and prioritize workload, and perform responsibilities with integrity

Ability to communicate issues to CBO management and offer a resolution

Ability to work professionally and closely with others, and function as a team member

Exhibit exceptional communication skills verbally and in writing

Minimum of two years experience in insurance and patient billing, and AR, which includes credits, refunds, offsets, and posting payments

Possess a comprehension of working and analyzing AR to resolve claim denials timely, and keep AR days, and greater than 90-day AR categories below MGMA standards

Working knowledge of CPT & ICD Coding, and medical terminology required