• Professional Group Medical Biller

    Job ID
    2019-3129
    # of Openings
    1
    Job Locations
    US-TN-Brentwood
    Posted Date
    1 week ago(11/27/2019 12:48 PM)
    Category
    Billing - CRMS
  • Overview

    Company Summary

     

    If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include company matching 401K, employee stock purchase program, 6-week paid maternity, paternity leave, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.

    Responsibilities

    Job Duties:

    • Ability to work in a team environment.
    • Capable to access & review spread sheets (census), superbills and billing software to accurately bill insurance claims.
    • Balance all billed charges at the end of each day.
    • Prepare and generate clean claims to submit via clearinghouse and/or postal mail by monitoring and/or data entry of correct information needed on a claim.
    • Identify and correct billing errors as needed and obtain any missing information to ensure payment of claims
    • Monitor facility level of care authorized versus level of care loaded to ensure the status of pending charges match the facility billed services.
    • Proficient in working rejections from clearinghouses such as Zirmed, Availity and Exchange Healthcare.
    • Periodically review and follow-up on outstanding insurance claims.
    • Work closely with the aging teams to ensure all resubmitted claims are sent daily.
    • Able to be present at work at the end of each month for month end close and knowledgably of all end month processes
    • Communicate immediately with supervisors on any insurance issues, trends, reimbursement setbacks, or facility communication issues that may affect cash flow by monitoring insurance accounts.
    • Work closely with management to assure communication of information necessary to ensure efficient processes are understood and implemented in accordance with policies and procedures. 

    Qualifications

    Job Requirements:

    • High School Diploma required.
    • Minimun of  at least 2 years’ medical billing experience required.
    • Medical billing certification a plus.
    • Must be familiar with UB04’s and HCFA’s.
    • Experience with Microsoft Windows and Office applications.
    •  Uses effective communication skills.  Uses communication technologies efficiently.
    • Performs accurate data entry.  Consistently works to improve error rate.
    • Employs general math skills and statistical analysis when appropriate. Able to analyze information and problem solve.
    • Acts responsibly and follows professional code of conduct as set forth by senior personnel. 
    • Utilizes excellent computer skills, especially Microsoft Office, Salesforce, and other technology and software as assigned.
    • Multitasks while maintaining attention to detail.  Works in a highly organized and efficient manner.
    • Maintains a high level of reliability, dedication and initiative.
    • Must be highly organized and able to multitask effectively.
    • Must be a team player.
    • Possesses the ability to take direction well.
    • If in personal recovery, a minimum of 2 years clean and sober.

     

    AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.

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