American Health Partners

A healthcare organization is seeking a Medical Billing Specialist responsible for processing medical claims, managing collections, and ensuring accurate patient records. This role requires effective communication, problem-solving skills, and proficiency with Microsoft Office tools. Ideal candidates must comply with legal standards like HIPAA and demonstrate strong organizational abilities. The position is located in Franklin, Tennessee, and offers opportunities to contribute to process improvements and productivity goals. #J-18808-Ljbffr

JOB SUMMARY: The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. Extract and verify billing information from medical records Ensuring collection of past due balances; follow up as needed Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies Answer patient account inquiries; assists establish alternative payment plans when necessary Maintain patient account records; settle third party payer issues as required Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) Prepare and...