Business Services Spec II

Posted 12 Days Ago
Be an Early Applicant
Germantown, TN, USA
In-Office
Entry level
Healthtech
More than a century of world-class orthopaedic care.
The Role
Manage patient accounts from charge entry to final resolution: verify/update insurance and demographics, review eligibility, determine financial responsibility, establish payment plans, process refunds, obtain precertification, edit claim holds, respond to payer/patient correspondence, and identify accounts for collections.
Summary Generated by Built In

POSITION SUMMARY

Responsible for all aspects of assigned patient accounts after charge entry to final resolution 

Essential Functions Statement(s)

  • Verifies and update insurance information and demographics 
  • Reviews insurance eligibility 
  • Determines and reviews financial responsibilities and insurance coverage with patients  
  • Resolves patient balance related questions 
  • Reviews surgery costs and establishes payment plans for patient portion 
  • Processes patient and payor refunds 
  • Identifies accounts for referral to outside collection agency  
  • Edits claim holds 
  • Keeps up with changes in payor processes and reports them to coordinator for appropriate action 
  • Obtains all precertification  
  • Responds to correspondence from payors and patients 
  • Performs other duties as assigned

SKILLS & ABILITIES

Education: High School Graduate or General Education Degree (GED)

Experience: Previous healthcare billing experience is preferred

Computer Skills: Must be computer literate. Basic computer skills required. Must be able to type. 

Campbell Clinic Benefit Summary: 

 

Campbell Clinic offers a lucrative benefit package to support employees and their families.

 

  • Medical / Dental / Vision Insurance
  • HRA Option
  • Flexible Spending Account 
  • Basic Life Insurance 
  • Voluntary Life Insurance Option
  • Long-Term Disability
  • Voluntary Short-Term Disability 
  • Accident Insurance 
  • Critical Illness Insurance
  • 401(k) Plan Matching + Profit Sharing 
  • Employee Assistance Program 
  • Paid Time Off 
  • 8 Paid Holidays 

Equal Opportunity Employer/Veterans/Disabled  


Skills Required

  • High school diploma or GED
  • Previous healthcare billing experience
  • Computer literate with basic computer skills; must be able to type
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The Company
HQ: Germantown, Tennessee
499 Employees
Year Founded: 1909

What We Do

Campbell Clinic is recognized as a national leader in sports medicine, pediatric orthopaedics, joint replacement, orthopaedic oncology, physical medicine and rehabilitation, and surgery of the hand, hip, foot, knee, shoulder and spine. We care for patients throughout their life, treating congenital issues as well as bone and joint problems affecting senior adults.

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