Vanderbilt University Medical Center Account Reimbursement Specialist - 3rd Party / Research in Nashville, Tennessee
Coordinates the billing and followup process between the organization, payers and patients with occasional guidance. Reviews denials and works with third party payers to ensure accurate reimbursement. Monitors, audits, and processes payments and adjustments to accounts.
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.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
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.
REVENUE CYCLE (NOVICE): - Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.
Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.
Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.
Team Interaction: Provides guidance to entry level co-workers.
High School Diploma or GED (or equivalent experience) and 2 years relevant experience
Licensure, Certification, and/or Registration (LCR):
Job Medical Coding and Billing
Organization: Third Party/Research 108573
Title: Account Reimbursement Specialist - 3rd Party / Research
Location: TN-Nashville-Vanderbilt Health One Hundred Oaks (OHO)
Requisition ID: 1806247