Medical Billing Specialist

Tennessee Interventional and Imaging Associates strives to provide high quality, safe, and compassionate care in diagnostic and interventional Radiology services to patients, referring physicians, hospitals and our community. As a small, partner owned company, we believe that great leadership is the foundation for success. We strive to provide a supportive and enjoyable workplace where each employee's opinions are valued and respected.

Position Summary :

The Billing Specialist is responsible for working accounts receivable follow up on designated insurance policies and monitoring insurance payments and denials to ensure timely filing. The Billing Specialist will work within the Accounts Receivable billing team for TIIA and will report directly to the Revenue Cycle Manager.

Job Functions :

• Works accounts receivable follow up for assigned insurance policies. Follows up with insurance carriers on unpaid claims until claims are paid or only self-pay balance remains
• Secures needed medical documentation required or requested by insurances
• Processes rejected claims and appeals on accounts as needed.
• Performs follow up on claims as needed.
• Manages daily productivity to meet company standards.
• Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to insurance carriers
• Monitors claims for missing information and authorization/control numbers
• Completes work within an efficient and timely manner. Keeping in mind timely filing limit restrictions by insurance companies
• Keeps updated on all billing requirements and changes for insurance types within the area of responsibility
• Responds to patient and payer inquiries and concerns
• Maintains strict confidentiality related to all patients’ private health information (PHI) in accordance with companies HIPAA policies and procedures

Qualifications:

• High school graduate preferred or GED diploma.
• 1+ years of medical billing experience
• Prior experience with all payer types: Commercial, Medicare, Medicaid preferably in a multi-facility setting.
• Demonstrated computer skills are required, including Microsoft Office (Word, Excel, and Outlook.
• Detail oriented
• Knowledge of medical terminology likely to be encountered in medical claims.
• Ability to adapt to company’s standard software program
• Ability to multitask and work efficiently in a fast-paced environment to meet deadlines.
• Shows problem solving skills to research and resolve discrepancies, denials, appeals, and collections.
• Strives for the highest level of accuracy possible

Benefits:

• Generous PTO benefit for vacation, sick, and company recognized holidays.
• Employee discounts
• Regular team building events/outings
• Medical Insurance (company pays a portion of the monthly premium)
• Dental and Vision Insurance
• Company paid life insurance policy
• Short term and long term disability
• Annual bonus incentive based on longevity
• 401k retirement plan with a company contribution of 3% and profit sharing whether employee contributes to plan or not

Job Type: Full-time

Pay: From $19.00 per hour

Expected hours: 40.0 per week

Work Location: In person