What are the responsibilities and job description for the Billing & Reimbursement Specialist I, TUMG Business Services position at Tulane University?
Job Description
In accordance with the accepted standards and practices of physician billing entities, to represent the physicians of the Tulane University Medical Group in the realization of all appropriate reimbursement for medical services rendered to patients. Support the billing and collection activities under the direction of the Supervisor, Manager and/or Director. Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons. Responsible for initial billing, claim follow up, resolution of rejected claims, claim edits resolution, handling of special accounts and keeping management informed of trends, updates and unusual or urgent issues. Promote an environment of high productivity and job satisfaction.
Responsibilities
In accordance with the accepted standards and practices of physician billing entities, to represent the physicians of the Tulane University Medical Group in the realization of all appropriate reimbursement for medical services rendered to patients. Support the billing and collection activities under the direction of the Supervisor, Manager and/or Director. Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons. Responsible for initial billing, claim follow up, resolution of rejected claims, claim edits resolution, handling of special accounts and keeping management informed of trends, updates and unusual or urgent issues. Promote an environment of high productivity and job satisfaction.
Responsibilities
- Familiar with governmental billing rules and regulations and other third party billing requirements
- Knowledge and experience with ICD9 and CPT4 coding
- Experience with personal computers, word processing (Microsoft Office skills)
- Excellent oral and written communication skills
- Must be able to work independently and meet deadlines
- Well-developed judgment and decision-making abilities
- High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
- Three years physicians billing experience
- Knowledge of group medical practice
- Experience with compiling and analyzing data
- Knowledge of IDX physicians billing software is a major asset