Billing Specialist

• Ensure the billing process is completed accurately, timely, and efficiently.
• Daily processing of claims and reviewing remittance advice forms.
• Answer billing questions from internal and external customers.
• Document communication in EMR system.
• Run billing reports and file disputes as necessary.
• Upload and log electronic remits from various insurance companies.
• Follow-up with insurance companies and payment guarantors.
• Monitor collection/aging worksheets and manage accounts.
• Participate in weekly billing team meetings and report payer trends.
• Attend community involvement events and perform additional projects as assigned.

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Collects, posts, and manages patient account payments
• Prepares and reviews patient statements
• Imports and balances EFT’s
• Identifies and corrects rejected claims
• Reviews delinquent accounts and contacts for collection purposes
• Verifies patients’ insurance coverage
• Answers questions regarding billing and insurance policies
• Processes payments from insurance companies
• Follows up to see if a claim is accepted or denied
• Reviews and appeals unpaid and denied claims accordingly
• Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately
• Obtains precertification, if required, for specific procedures
• Investigates insurance fraud and reports if found

Billing and Coding Associate

• Serve as the primary point of contact for client billing inquiries while managing relationships with multiple clients and ensuring timely issue resolution
• Analyze client accounts, generate invoices, and collaborate with leadership to improve account resolution and reduce aging balances
• Review contract billing metrics, reconcile accounts, and support month-end activities to ensure accurate financial reporting
• Review client and payer contracts, perform billing and contract audits, and identify potential financial risks or discrepancies
• Document billing processes and policies while coordinating client meetings and supporting ongoing operational improvement initiatives

Contract Billing Analyst

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims
• Utilize various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts
• Critically analyze account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials
• Maintain workqueues and track trends that can be escalated to management
• Clearly notate accounts per Westerkamp Group or client specific standards
• Review paper correspondence and take necessary action to resolve insurance payer requests
• Analyze and submit cash posting payment and contractual adjustment errors
• Adhere to strict compliance guidelines related to HIPAA

Billing Insurance Follow Up Analyst

• Proactively engage with stakeholders & vendors to support delivery of solutions in line with business plans.
• Apprise on development and vision of strategies for in partnership with business stakeholders and IT peers.
• Oversee all requirements including new demands as well as escalations for operational requests with assigned departments.
• Lead activities related to education of business teams around strategy, services, and capabilities, as well as IT change management & communication.
• Inform and implement IT change and communication management plans across assigned departments.
• Develop business cases/proposals for programs and projects based on understanding of departmental roadmap.
• Develop presentation materials, documents, etc. for programs/projects and present materials to stakeholders.
• Assist with project management responsibilities.
• Guide and direct team members around processes/systems/issues related to business aspects as well as services and process capabilities.
• Maintain regular and predictable attendance.

Senior Clinical Applications Analyst – Epic Hospital Billing/Claims

• Provide Epic product function, design, and build expertise and experience needed for successful product implementation.
• Serve as the primary resource dedicated to application design, validation, and build within assigned area.
• Assess current state, design and implement future-state workflows by interacting with department representatives to analyze business/operational needs, and translate these into proper system configuration.
• Provide demonstration of system functionality; create and submit regular status reports to immediate Lead Analyst/Project Manager/IT Leadership as assigned.
• Coordinate/facilitate organizational meetings and attend weekly team meetings to discuss team and project related activities, issues, changes, communications, and updates.
• Develop, support, and maintain documentation and procedures as needed and provide training to other IT staff and user clients as appropriate.
• Troubleshoot problems identified by team members and end-users, analyze and coordinate system changes, and implement approved changes based on customer-designated priorities.
• Review and test build and new releases/enhancements prior to implementing in the production environment, and maintain established guidelines related to build standards and Change Control processes.
• Collaborate with Principal Trainers in the design and development of role-based training programs to support the workflows to be implemented, and assist with training of end-users on proper use of the system.
• Contribute to preparation of testing scripts, perform unit/system/integrated testing tasks in a structured manner, and appropriately document test results.
• Provide expertise and experience to the development of activation plans, application activation tasks, and production environment readiness.
• Provide on-site support as needed during Go-live/Downtime events.

Senior Analyst – Epic Hospital Billing

• Responsible for the development of strategies aimed at reducing addressable bad debt
• Partner with internal and external stakeholders to implement process improvements
• Direct interfacing with clients and/or Sales to address outstanding client balances
• Coordinate and work with Corporate Billing on customer facing initiatives
• Provide billing training to phlebotomists, Sales, and clients
• Work with clients and divisional employees to resolve billing issues
• Conduct comprehensive client audits to assess denials
• Engage and provide leadership for monthly sales meetings

Billing Specialist jobs in Tennessee

See all jobs on JobTailor