About The Role

Billing Specialist - Healthcare | Summit Healthcare Mgmt | Franklin, Tennessee About the Job

PURPOSE STATEMENT

The Billing Specialist is responsible for the day-to-day operations involving billing. This position will work under supervision of the Manager-Billing to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in healthcare servicing multiple facilities.

Roles and Responsibilities

ESSENTIAL FUNCTIONS

Billing claims for assigned facilities per the direction of the Manager-Billing.
Generating and reviewing daily billing reports.
Ensuring all claims are properly uploaded to clearing house on a daily basis.
Adhering to daily billing workflow.
Ensure that daily rebills requested are rebilled the same day of request unless additional information is needed.
Ensuring clearing house rejections are addressed in a timely manner.
Assists with A/R Month End close process.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

High school diploma or GED required.
Three or more years of computerized medical billing experience required, with one or more years’ experience in behavioral healthcare preferred.
Advanced knowledge of UB04 and HCFA1500 forms, CPT and ICD-10 coding.
Working knowledge of Medicare/Medicaid guidelines preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS

Not Applicable.

WORK LOCATION

This position is remote.

SUPERVISORY REQUIREMENTS

This position is an Individual Contributor.

Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.