High School Diploma or GED equivalent is required., Knowledge of insurance follow-up processes, clinic operations, and medical terminology is essential., Excellent customer service skills and attention to detail are necessary., Two years of relevant experience in revenue cycle or a related field is preferred..
Key responsibilities:
Follow up with insurance payers to resolve unpaid accounts receivable and ensure proper reimbursement.
Identify trends in denials and report findings to supervisory staff for escalation.
Document all activities in accordance with policies and maintain confidentiality of medical records.
Establish and maintain professional relationships with peers and stakeholders.
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Catholic Health Initiatives, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation’s largest nonprofit health systems, Englewood, Colo.-based CHI operates in 18 states and comprises 100 hospitals, including two academic health centers, major teaching hospitals and 30 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2018, CHI provided more than $1.14 billion in financial assistance and community benefit for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled approximately $2.1 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $15 billion in fiscal year 2018, has total assets of approximately $20.5 billion. Learn more at www.catholichealthinitiatives.org
Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system toensure appropriate reimbursement is received for all FMG providers.
Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.
Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.
Establishes and maintains professional and effective relationships with peers and other stakeholders.
Qualifications
Minimum Qualifications:
High School Diploma or GED equivalent
Knowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations, regulatory/reporting requirements
Excellent customer service, attention to detail, and the ability to maintain confidentially of medical records
Preferred Qualifications
Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
Graduation from a post-high school program in medical billing or other business-related field
#Remotework
Overview
CHI Memorial Mountain Management
CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.
We care about our employees’ well-being and offer benefits that complement work/life balance.
We offer the following benefits to support you and your family:
Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs
Employee Assistance Program (EAP) for you and your family
Health/Dental/Vision Insurance
Flexible spending accounts
Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
Adoption Assistance
Paid Time Off (PTO)
Tuition Assistance for career growth and development
Matching Retirement Programs
Wellness Program
If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!
Pay Range
$15.49 - $21.30 /hour
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.