Medical Billing Specialist-Hearing & Speech Center
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Job Location:
Knoxville, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Market Range: 05
Hiring Salary: $18.54/Hourly
THIS POSITION LOCATED IN KNOXVILLE TN
JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Medical Billing Specialist serves to maximize reimbursement for services provided in the clinics operated by the Department of Audiology & Speech Pathology. This position ensures medical claims are properly coded and billed timely and identifies and investigates billing problems to find communicate and implement solutions. This position assists in maintaining provider credentialing for network participation compliance.
Responsibilities
- Ensures compliance with medical coding and billing regulations.
- Verifies coding and prepares claims for submission to the clearing house.
- Completes electronic claims submissions and mails paper claims as needed.
- Maintains Tennessee Early Intervention System (TEIS) website. Ensures providers enter service logs timely enter primary/secondary ins payments and send claims to TEIS with a copy of the primary/secondary EOB.
- Ensures services billed to third-party guarantors are properly and timely reimbursed.
- Files appeals on denied claims with any additional data requested.
- Educates administrative and professional teams on all areas of billing and coding.
- Works with individual providers to address billing/coding concerns.
- Assists in maintaining provider credentialing with federal state and private guarantors; files applications for participation with federal state and private programs or insurance.
- Maintains knowledge of CPT and DX codes regulations provider information and insurance changes.
- Performs other duties as assigned.
Qualifications
MINIMUM REQUIREMENTS:
EDUCATION: High School Diploma or GED.(TRANSCRIPT REQUIRED)
EXPERIENCE: Two (2) years of experience in an office setting in medical billing using an electronic medical record and/or accounting system; ORa combination of experience and education to equal two (2) years. (Prior experience in audiology or speech pathology setting is preferred.)
KNOWLEDGE SKILLS AND ABILITIES:
- Excellent computer skills including competency in Microsoft Excel and Word and accuracy in typing and data entry.
- Experience with computerized patient management or accounting systems.
- Ability to interpret guarantor billing and coding guidelines including Medicare and TennCare.
- Knowledge of common insurance reimbursement practices.
- Excellent communication skills with the ability to maintain a friendly demeanor and exhibit tact and professionalism both in person and on the phone.
- Excellent organizational and time management skills.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
UT Advocacy is the official grassroots network of the University of Tennessee.
