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Located in Franklin, Tennessee, Williamson Health is one of the South's most exceptional health care systems with a 203 bed hospital (Williamson Medical Center), over 40 providers at our Williamson Health Medical Group locations, the Bone & Joint Institute and the Monroe Carell Junior Children's Hospital Vanderbilt at Williamson Medical Center.
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Billing/collections, front and back office procedures/policies experience preferred. o Medical, Dental, Visiono PTOo Retirement Matchingo Tuition reimbursemento Discount programso FSA (Flexible Spending Accounts)o Identity Theft Protectiono Legal Aid Williamson Health is an equal-opportunity employer and a drug-free workplace.
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Medical billing software expertise in (but not limited to): Meditech (MAGIC, Client Server or Expanse), CPSI, Medhost, EPIC, Meditech, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.
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Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC’s), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding.
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Contact doctor offices as necessary to collect prescriptions, certificates of medical necessity, letters of medical necessity, clinical notes, and lab results. Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.
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About Sound Physicians: Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states.
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Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash outSupport for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and moreProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
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3-5 years’ experience in medical insurance authorization, billing, patient accounts or related role required. The Denials Management Billing Specialist is responsible for following payor guidelines, legislation and regulations.
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Essential Duties and Responsibilities:Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting system as part of a corporate coding organization.
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Complete high-quality reviews to ensure accuracy of medical coding and billing practices on itemized bills. Investigate, review, and provide coding expertise in the application of billing practices and reimbursement policies within the claim adjudication process through a thorough document review.
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Knowledge of medical billing practices, eligibility and insurance requirements, and billing reimbursement. Maintain current knowledge of and ensure compliance with company policies and procedures; stay current in medical billing practices, eligibility and insurance requirements, documentation requirements, and billing reimbursement.
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Minimum of 5 years experience working with physician offices or clinics working with diagnostic and procedure coding and/or medical billing. Requests additional medical records as needed to clarify missing or inadequate medical record information required to complete the coding assessment and adhere to documentation and billing requirements.
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Collections and billing experience required, medical billing preferred. Training in billing preferred. This position is also responsible for the preparation of daily cash receipts and maintenance of insurance logs, providing data processing services for the facility which may include entering receivables, report preparation, printing data entered into the system, selecting and printing bills and posting charge sheets.
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The position is Patient Account Representative, they must have experience with Medical Billing, Insurance and self-pay collections. Minimum of 1 years experience in medical and/or psychiatric billing.
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Competent level of experience in medical billing (2-3 years minimum), experience in BrighTree and/or DME preferred. Monitors and evaluates current reimbursement/payment rules and policy guidelines to ensure that legislative and regulatory changes impacting medical billing are anticipated and communicated to the company.
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medical billing jobs in Franklin, TN
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