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Campbell Clinic

Tier 1 Business Services Specialist II

cookeville, TN

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Job description

Position Summary

Responsible for all aspects of assigned patient accounts after charge entry to final resolution

Essential Functions Statement(s)

Verifies and updates insurance information and demographics

rebills charges when insurance corrections are made

Keeps up with changes in billing and pre-cert guidelines (including LCD's)

Reviews insurance eligibility

Determines and reviews financial responsibilities and insurance coverage with patients

Resolves patient balance related questions

Reviews surgery costs and establishes payment plans for patient portion

Reports denial trends to coders and managers

Completes charge entry

Processes patient and payor refunds

Reviews insurance eligibility and rejections/errors

Follows-up on aging buckets

Identifies accounts for referral to outside collection agency

Edits claim holds

Keeps up with changes in payor processes and reports them to coordinator for appropriate action

Obtains all precertification

Responds to correspondence from payors and patients

Regular and predictable attendance

Ability to work in a cooperative manner with others

Performs other duties as assigned

SKILLS & ABILITIES

Education: High School Graduate or General Education Degree (GED)

Experience: Previous healthcare billing experience is required

Computer Skills: Must be computer literate. Basic computer skills required. Must be able to type.

Campbell Clinic Benefit Summary:

Campbell Clinic offers a lucrative benefit package to support employees and their families. Medical / Dental / Vision Insurance

HRA Option

Flexible Spending Account

Basic Life Insurance

Voluntary Life Insurance Option

Long-Term Disability

Voluntary Short-Term Disability

Accident Insurance

Critical Illness Insurance

401(k) Plan Matching + Profit Sharing

Employee Assistance Program

Paid Time Off

8 Paid Holidays

Worksite address

cookeville, TN, 38502, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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