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Claims Processing Coordinator

2 months ago

Louisville, Tennessee, United States TeamHealth Full time
Job Summary

We are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at TeamHealth. In this role, you will be responsible for reviewing carrier denials and ensuring accurate and efficient processing of invoices.

Key Responsibilities
  • Review ETM task lists, comments, and rebills claims as necessary to ensure accurate and timely processing.
  • Examine denials to determine the most effective course of action based on carrier requirements and industry standards.
  • Compile and forward relevant documentation to senior representatives for carrier-related issues.
  • Stay up-to-date on carrier provider manuals and billing updates to ensure compliance and accuracy.
  • Identify and report consistent errors that impact claims processing.
  • Participate in department meetings with the Accounts Receivable Team to discuss best practices and share knowledge.
  • Seek guidance from senior representatives, supervisors, and the Accounts Receivable Manager as needed.
Requirements
  • One year of medical billing experience.
  • Knowledge of physician billing policies and procedures.
  • Proficiency in computer software and systems.
  • Ability to work in a fast-paced environment with excellent organizational skills.
  • Capacity to work independently with minimal supervision.
Working Conditions
  • This role will be performed in a well-lit and well-ventilated office environment with extensive computer use.
  • Overtime may be required and can be mandated by management.