[Hiring] Revenue Cycle Billing Resolution Specialist @Vanderbilt University Medical Center

Role Description

Coordinates the billing and follow-up process between the organization, payers and patients with minimal guidance. Recognizes, researches, reconciles, and reports appropriate corrective action plans on trends related to patient account inquiries and payer denials.

Key Responsibilities

• Reviews and investigates patient billing concerns, identifies discrepancies in medical charges, verifies insurance discrepancies in medical charges, verifies insurance payments and adjustments and coordinates with the appropriate departments to ensure accurate billing and timely resolution of patient account issues.
• Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
• Accesses and corrects, if needed, demographic, insurance and financial information.
• Provides accurate account maintenance and documentation.
• Serves as a liaison with insurance companies, third party payors, and administrative personnel.
• Analyzes incoming financial data to identify, reconcile, and resolve patterns resulting in erroneous or no reimbursement.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

Qualifications

• High School Diploma or GED
• 4 years of relevant work experience

Requirements

• Revenue Cycle (Novice): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
• Coding Knowledge (Novice): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
• Data Entry (Intermediate): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.

Benefits

• Comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Company Description

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.