HCA, Hospital Corporation of America Medicare Specialist - Billing in Hendersonville, Tennessee

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

  • Maintains current knowledge of all office operations, job specific requirements and related regulations.

  • Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.

  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.

  • Reviews, makes corrections to, and ensures the legibility of outgoing secondary bills, and other correspondence before sending.

  • Properly processes and responds to incoming correspondence, including emails.

  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed.

  • Completes work request timely and in accordance with instruction.

  • Performs all of the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).

  • Forwards and logs all documentation related to processes and duties which are transferred to other employees.

  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.

  • Exercises good judgment and makes sound decisions in the absence of detailed instructions or in an emergency situation.

  • Treats client requests with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the requests timely, accurately, and according to instruction.

  • Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.

  • Adapts and conforms to company and client requirements not specified in this job description.

  • Promotes the Medicare Service Center and helps to identify the necessary resources to meet the needs of its customers.

  • Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”

  • Other duties as assigned

    KNOWLEDGE, SKILLS & ABILITIES

  • Analytical and organizational skills.

  • Ability to identify, set, and follow priorities.

  • Strong PC and data entry skills.

  • Ability to communicate effectively with employees, clients, and others.

  • Character to maintain strict confidentiality.

    KNOWLEDGE – preferred

  • Knowledge of Medicare Regulations

  • Knowledge of UB-04 billing

  • Knowledge of ICD10 and CPT4

  • Knowledge of hospital business office operations

    EDUCATION

  • High school graduate or equivalent.

Job: *Finance Acctg Billing Claims & Revenue

Title: Medicare Specialist - Billing

Location: Tennessee-Hendersonville-Medicare Service Center

Requisition ID: 08910-156632