The posting
Job Description
THIS IS NOT A REMOTE POSITION
Assists with the coordination and supervision of daily activities of a group of Billing Specialist as well as support billing and collections functions of the medical practice.
Responsibilities
- Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
- Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
- Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
- Provides direction and guidance to less experienced team members.
- Recognizes and recommends areas needing improvement.
- Assist in scheduling and coordinating team activities.
- Handles escalated and unresolved issues from less experienced representatives. Enter charges in a timely manner File claims and run/work audit trails daily
- Process ERAs, payments, and adjustments Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting
- Ensure that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit
- Review/work delinquent insurance and patient balances Work credit balances Run reports as requested by management or accounting. Other responsibilities as assigned.
Qualifications
Education: High school diploma/GED required with completion billing or coding program preferred. Certification: Experience: Must have a minimum of 5 years of experience working in medical billing Other Requirements: None Performance Requirements: Knowledge: 1. Knowledge of Accounts Receivable collection process 2. Knowledge of the Red Flag rules 3. Knowledge of Electronic Health Systems 4. Knowledge of ICD-9 and CPT codes



