TMS Health Partners

Billing Specialist

Job Locations US-CA-SAN FRANCISCO
Job ID 2020-1254
# of Openings
1
Category
Revenue Cycle Management

Overview

As a member of the Revenue Cycle team, you will drive speed to payment and improved revenue yield by ensuring all claims are received by the payor(s) timely and accurately. Your efforts will help TMS Health Solutions continue to build a world-class revenue cycle. To succeed, you will need to be a master of organization with strong attention to detail. Your drive to exceed performance expectations will contribute to an efficient revenue cycle and reduction of billing denials.

Responsibilities

ROLES AND RESPONSIBILITIES

  • As a specialist, be able to contribute to every stage of revenue cycle, from claim submission, to denial management, to payment posting review and reporting
  • Process and follow up on insurance claims and denials for private and government insurance reimbursement
  • Understand payor issues, identify billing patterns and work with management to develop resolution to issues
  • Provide support to various internal departments regarding billing issues
  • Assist patients and their families with billing questions/concerns and respond promptly to billing inquiries via telephone, email, cases, as well as internal chat
  • Accurately document patient records with follow-up activity and issues as they occur
  • Partner with internal teams to resolve open questions as necessary
  • Help with ad-hoc projects when assigned

Qualifications

QUALIFICATIONS

  • High School diploma or equivalent required, bachelor’s desired
  • Prior experience in medical billing and insurance follow up reimbursement (minimum: 3+ years)
  • Basic comfort level with Internet and MS Office environments (Word, Excel, Outlook) required
  • Knowledge of patient billing terminology, collections, as well as government regulations
  • Working knowledge of CPT and ICD-10-CM codes and electronic claim filing
  • Highly organized with strong attention to detail
  • Ability to problem-solve and identify billing trends and patterns
  • Ability to manage multiple assignments and balance workload independently
  • Strong communications skills; ability to listen attentively and to communicate clearly and effectively
  • Must be a dependable team-player with a positive attitude
  • High degree of drive, initiative, and follow-through
  • Nexgen software experience is a plus

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