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Up to $4,000 Sign-On bonus based on experience

Summary

Provides support functions as assigned by billing management team. Assists with submission of appropriate documentation to insurances to facilitate claim processing including functions such as pulling of documents, faxing, scanning and mailing, communicating with health insurance providers and assisting with other processes in the billing cycle. Completes established competencies for the position within designated introductory period. Other duties as assigned.

ESSENTIAL / PRIMARY DUTIES

(The essential job functions or primary responsibilities that must be performed unaided or with the
assistance of an accommodation � all job functions should begin with an action verb)

General Functions:

? Retrieves medical records from EMR
? Organizes and processes records for insurance processing
? Meets department standards for prepping and scanning documents
? Ensures records are processed timely to avoid delays in further processing
? Pulls any necessary documentation for all departments and maintains files (remits, EOBs)
? Coordinates appeals to insurance company regarding denials
? Makes insurance follow-up calls to insurance carriers and patients
? Scans, mails, or uploads requested patient document to appropriate insurance for claims processing
? Follows-up on primary and secondary insurance billing, as well as Medicaid and commercial appeals
and denials
? Communicates with various health insurance providers and patients
? Processes secondary claims as required
? Performs remittance review and analysis of payment or non-payment of patient accounts
? Demonstrates increased knowledge and support function abilities
? Completes daily opening and sorts mail for all departments
? Sorts and identifies correspondence received and takes appropriate action based on details given
? Stuffs and submits outgoing mail to the mail department for all teams
? Distributes daily, weekly and monthly reports to the appropriate personnel
? Performs data entry, work processing and correspondence duties
? Assists Supervisor and Team Leader with reporting
? Performs special projects as assigned
? Utilizes resources efficiently and effectively
? Maintains safe environment
? Participates in Performance Improvement activities

POSITION QUALIFICATIONS

MINIMUM EDUCATION: High School Graduate
PREFERRED EDUCATION: Graduate of Medical Office/Billing Program

MINIMUM EXPERIENCE:

PREFERRED EXPERIENCE: 1 year of medical billing with ability to perform remittance review and medical
billing

REQUIRED CERTIFICATIONS/LICENSURE: NA
PREFERRED CERTIFICATIONS/LICENSURE: NA
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): NA

#LI-JH5

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.