The Billing Support Specialist is responsible for printing and mailing paper claims, ensuring all necessary backup documentation is attached, such as medical records, secondary remits, and itemized bills.
On-site / Location: Franklin, TN
Primary Duties and Responsibilities
Print and mail paper claims four to five times weekly, ensuring all necessary backup documentation is attached, including medical records, secondary remits, and itemized bills.
Notate actions taken on patient accounts within the EHR system.
Manually enter secondary billing for various states as required, maintaining productivity and clean entry rates.
Perform billing and follow-up on industrial accounts.
Assist other team members when necessary.
Perform other job duties as assigned.
Administrative Duties
Accurately input and submit worked time by the required departmental deadlines.
Maintain knowledge of insurance payors and collection regulations.
Stay updated on industry knowledge through self-study and training courses.
Attend and participate in team and departmental meetings.
Respond effectively to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
Adhere to all HIPAA Privacy and Security requirements and responsibilities.
Perform duties and responsibilities in a positive manner that upholds company policies and procedures.
Knowledge, Skills, and Abilities
Proficiency in computer applications or other automated systems, such as Excel spreadsheets, Word, email, and database software.
Basic knowledge of hospital billing, revenue cycle, and medical terminology.
Understanding of Explanation of Benefits (EOB), state, and federal guidelines.
Ability to understand and interpret correspondence regarding payments, refunds, or underpayment requests.
Ability to navigate healthcare information systems and clearinghouses.
Excellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness.
Detail-oriented, organized, and able to multi-task.
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
Flexible with a "can-do" attitude and able to remain professional under high-pressure situations.
Training and Experience
High school diploma or equivalency required.
0-3 years of work experience, primarily focused on customer service.
Ability to follow directions and perform work independently according to department standards.
Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, etc.).
Customer service-oriented.
Other Requirements
Ability to travel to and work in the Franklin office (4-5 days a week).