About American Health Partners

American Health Partners Inc. provides a continuum of healthcare services that aid recovery, prevent unnecessary hospital stays and improve quality of life for older adults. In Tennessee and Alabama, the company owns 29 senior living, skilled nursing and rehabilitation centers; five psychiatric hospitals; multiple home health and hospice offices serving 31 counties; and a long-term care pharmacy. Two other divisions provide Institutional Special Needs Health Plans (I-SNPs) and medical staffing in nursing homes in Tennessee, Georgia, Kansas, Oklahoma, Mississippi and Missouri. American Health Partners is based in Franklin, Tennessee. For more information, visit AmHealthPartners.com

The Physician Billing Specialist 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.

JOB SUMMARY:

Full Time

This position will be based out of Parsons, TN.

Essential duties and responsibilities include the following:

• Ensures timely filing of all Medicare, Medicaid, and third-party insurance claims and reconciles all payments with related charges and adjustments
• Receives and reviews DAR (Daily Reconciliation Review) document for accuracy and enters charges into PMS (Practice Management System)
• Balances daily charges and reconcile with reports within PMS
• Performs follow up on all claims submitted in timely intervals established by Revenue Cycle Manager.
• Works with Revenue Cycle Manager and payers on denials/rejections
• Extracts and verify billing information from medical records through access to VISION
• Ensure all patient demographic and insurance is accurate, prior to submitting claims to insurance companies
• Prepare and review patient statements prior to release through PMS
• Posts all third-party payments and applicable contractual allowances to patient accounts
• Works closely with practice location representatives to ensure proper insurance verifications and authorizations are obtained
• Communicates professionally with patients and guarantors regarding balances or account information
• Performs all other duties as assigned

Required Work Experience:

• Two (2) years of related office experience

Licensing/Certification/Education Requirements:

• Associates degree preferred, high school diploma required

Required Computer Software/Equipment Used:

• Microsoft Suite including Outlook, Excel, and Word
• Microsoft Excel
• PC-ACE PRO 32 billing software
• IVANS Standard Office Equipment

Physical Requirements:

• Allows discretion for standing, walking, sitting
• Work is performed in a standard office environment; well-lit; comfortable temperature controlled; average conversational noise is frequent
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

EQUAL OPPORTUNITY EMPLOYER

American Health Partners is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

Education

• High School or better

• Associates or better