*Billing Rep 3

Company Name:
MetroSouth Medical Center
Summary: Maintains dashboards within the practice management system by ensuring the accuracy and timely entry of information into the appropriate table spaces.
Essential Duties and Responsibilities: Include the following_. Other duties may be assigned._
Reviews workflow dashboards and makes correction to claims to facilitate billing
Communicates with facilities to obtain prior authorization information and/ or consent forms
Researches, identifies, and rectifies any special circumstances affecting delayed submission of insurance accounts or payment of accounts
Reviews insurance information loaded by registration staff for accuracy and completeness and identifies and/or rectifies problems
Supports staff by data entry of registration information and charge entry, and verification of insurance eligibility and benefits as needed
Remains informed of statutory and regulatory changes affecting collections of receivables
Provides information related to policy and procedure or instruction on the practice management system
Escalates issues and situations within the practice management system as necessary
Supervisory Responsibilities: This job has no supervisory responsibilities
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Collects and researches data; Uses intuition and experience to complement data
Customer Service - Responds promptly to customer needs
Interpersonal Skills - Maintains confidentiality of all patient information and company documents
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information
Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position
Quality - Demonstrates accuracy and thoroughness
Quantity - Meets productivity standards
Adaptability - Adapts to changes in the work environment
Attendance/Punctuality - Is consistently at work and on time
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience Preferred: High school diploma or general education degree (GED); 2 years experience with insurance billing requirements and account follow-up procedures including experience researching and resolving claims denied by insurance carriers, and a general understanding of ICD9 and CPT coding; or equivalent combination of education and experience.
Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations.
Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Skills: To perform this job successfully, an individual must have knowledge of general computer applications, including Excel and keyboarding experience, and practice management systems.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.
Job: Business Office Support
Primary Location: TN-Franklin (Nashville Region)
Organization: PPSI
Employee Status: Full-time
Req ID: 1403491

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