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Named among "Great Places to Work" by Becker's Hospital Review Career Growth Opportunities Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available) GENEROUS Personal time off Eight Paid Holidays per year Quarterly incentive plans Business casual dress code Flexible work schedule JOB DESCRIPTION OVERVIEW:
This position is responsible for processing credit balances for TennCare, Medicaid, Managed Care and commercial for hospital medicine, clinic and anesthesia groups.
This position is responsible for the posting of emergency, clinic, guarantor and carrier payments. Maintains accuracy and production. ESSENTIAL DUTIES AND RESPONSIBILITIES: Process credit balances from EOB copies to determine refund. Process credit invoices through work files. Assembles appropriate documentation to validate refunds and forward for mailings. Reviews credit report monthly to ensure all credits have been reviewed. Contacts insurance carriers and requests EOB's as necessary. Reports any consistent errors identified that affect invoices from being processed correctly. The posting of all groups lockbox receipts in IDX. The posting of all groups payments to the individual invoices in Post Receipts. The posting of all rejections listed on payment EOBs. Copies of guarantor, Medicare, and Medicaid credits for each emergency, and clinic group. Completion of the unapplied log sheet and attaches copies of the EOB's for each unapplied payment. Completion of the Offset log sheet with attached copies of the EOBs for review. Completion of the deposit batch logs. Responsible for maintaining all policy and procedures. Participates in unit progress meeting. Maintains daily batch log of all posted batches. Turns to supervisor for unusual circumstances that may include recoups, adjustments, fee schedules, rejections, etc. Performs any and all duties as directed by management. QUALIFICATIONS / EXPERIENCE: Excellent personal computer skills, including proficiency in Microsoft Office. Ability to handle a variety of tasks in a fast-paced environment, knowledge of IDX-BAR preferred. Excellent problem-solving, communication, organizational, and customer service skills. EDUCATION: Education should be equivalent to completion of the 12th grade or a GED. A minimum one-year medical billing experience with emphasis on accounts receivable. Excellent communication skills, ability to meet deadlines and production goals and good computer skills. SUPERVISORY RESPONSIBILITIES: None PHYSICAL / ENVIRONMENTAL DEMANDS: Job performed in a well-lighted, modern office setting. Occasional standing/bending. Moderate stress Prolonged sitting Prolonged work on a PC/computer
