Medical Billing Representative

We are seeking a highly organized and detail-oriented candidate with medical billing experience to join our Billing Team.

This is a hybrid role based in Nashville, TN (2 days in office/3 at home)

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

Other duties may be assigned.


* Enter charges for dialysis services and any related service performed in a timely and accurate manner.


* Record hemodialysis, peritoneal dialysis and any other related charges to patient accounts submitted by the dialysis centers after reviewing for all necessary and correct information.


* Contact unit secretaries, social workers and/or clinical personnel at the centers to obtain missing and incorrect information.


* Maintain a professional work relationship with all the center staff.


* Balance and verify accuracy of data entered prior to the end of the month end process.

This would include updating of Dialysis spreadsheet, verifying Hematocrit and URR's, height and weights, admin fees etc.


* Posting charges and filing insurance, printing and mailing of claims in a timely manner.

Filing secondaries with all necessary documentation.


* Rebilling of claims when appropriate.


* Performs other duties and responsibilities as required or assigned.

EDUCATION and/or EXPERIENCE:

High School diploma or GED required.

No less than two years of experience in health/medical billing.

OTHER SKILLS and ABILITIES:

Ability to use copier, fax machine, printer, calculator and multi-line telephone.

Must be proficient with computers with an understanding of medical billing software.

Advanced knowledge of medical terminology as well as knowledge of government and private insurer rules and regulations.

Advanced knowledge of CPT, ICD-9 and HCPCS coding, as well as in-depth knowledge of medical billing requirements.

Working knowledge of Microsoft Outlook, Word and Excel.

Ability to utilize the internet, specifically Medicare and Medicaid websites.

Must be able to maintain confidentiality in regards to HIPAA rules and regulations, as well as private company matters.

SUCCESSFUL COMPETENCY FACTORS:

Use of the following skills: problem solving, analytical ability, decision making, oral and written communication skills.

Interpersonal skills necessary to successfully work with insurance carriers, government and private agencies.

WORKING RELATIONSHIPS:

Daily contact with carriers by email and by telephone.