Business Services Specialist II Tier 1 - Cookeville Full-Time 40

POSITION SUMMARY

Responsible for all aspects of assigned patient accounts after charge entry to final resolution

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s)

• Verifies and updates insurance information and demographics
• rebills charges when insurance corrections are made
• Keeps up with changes in billing and pre-cert guidelines (including LCD's)
• Reviews insurance eligibility
• Determines and reviews financial responsibilities and insurance coverage with patients
• Resolves patient balance related questions
• Reviews surgery costs and establishes payment plans for patient portion
• Reports denial trends to coders and managers
• Completes charge entry
• Processes patient and payor refunds
• Reviews insurance eligibility and rejections/errors
• Follows-up on aging buckets
• Identifies accounts for referral to outside collection agency
• Edits claim holds
• Keeps up with changes in payor processes and reports them to coordinator for appropriate action
• Obtains all precertification
• Responds to correspondence from payors and patients
• Regular and predictable attendance
• Ability to work in a cooperative manner with others
• Performs other duties as assigned

SKILLS & ABILITIES

Education: High School Graduate or General Education Degree (GED)

Experience: Previous healthcare billing experience is required

Computer Skills: Must be computer literate. Basic computer skills required. Must be able to type.

Campbell Clinic Benefit Summary:

Campbell Clinic offers a lucrative benefit package to support employees and their families.

• Medical / Dental / Vision Insurance
• HRA Option
• Flexible Spending Account
• Basic Life Insurance
• Voluntary Life Insurance Option
• Long-Term Disability
• Voluntary Short-Term Disability
• Accident Insurance
• Critical Illness Insurance
• 401(k) Plan Matching + Profit Sharing
• Employee Assistance Program
• Paid Time Off
• 8 Paid Holidays

ADA Disclaimer: In developing this job, description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.