Revenue Cycle Specialist- Medical

TNT Healthcare Billing Solutions is looking to add to our team! We are in need of a candidate who has experience with medical billing. We are seeking a medical billing specialist with a minimum of one year billing experience to become an integral part of our Billing/Coding/Collections team.

This person will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated biller. The right candidates’ primary duties will include but are not limited to: following up on unpaid claims, utilizing the company’s primary monthly aging reports, and filing appeals when appropriate to obtain maximum reimbursement for our clients. Secondary duties include but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits.

Daily Responsibilities:

Post all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility

• Post all payments, by line-item, received for physician’s professional services into EMR software system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient and client satisfaction
  
• All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
• Verify all demographic and insurance information in patient registration of the pager demographic sheet and or the client's EMR software system at the time of charge entry to ensure accuracy
• Provide feedback to clients and supervisor to ensure timely reimbursement.
• Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
• Transmit all appropriate electronic and paper claims, correct any errors on claims and re-transmit; file secondary claims as necessary.
• Identify, work, and follow up on rejected claims as evidenced by EOBs
• Discuss any outstanding payment amounts with patients determined the insurance company and the patient
• Provide outstanding customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol.
• Patient calls regarding accounts receivable should be returned within one business days to ensure maximum patient and client satisfaction.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and re-bills within two working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Submit primary and secondary insurance claims electronically each day
• Process refunds to insurance companies and patients in accordance with client protocol.
• To be able to learn and utilize the clients EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry as required.
  
• Provide cross coverage for fellow coworkers in their absence as required to ensure efficient and professional practice operation.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to HIPAA, Medicare Compliance, and Business Associate Agreements with our clients

TnT Healthcare Billing Solutions shall provide equal access to and opportunity in its employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression.