DeRoyal is an Equal Opportunity/Affirmative Action employer. Interviewing and hiring practices at DeRoyal do not discriminate on the basis of race, color, sex, sexual orientation, gender identity, age, national origin, physical or mental disability, genetic information, veteran status or any other category protected by law.
8500 - 57277 Billing Specialist
Riggs Hospital Supplies in Powell, TN has an immediate opening for a Billing Specialist to join its team. Working hours for this opportunity are M-F 9:00 a.m. to 6:00 p.m. The ideal candidate will be responsible for entire cycle of the billing process, including but not limited to quality assurance for each sales order, proper billing for all provided services, maintain billing on a monthly basis for rental items, receiving and posting payments and working all denials to ensure cash flow for all Riggs Hospital Supplies, Inc. locations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Documentation and quality assurance and timely submission of all sales orders supporting claims submissions.
- Knowledgeable of payers processing requirements, standards, regulations, and rules for any insurance billed by Riggs Hospital Supplies, Inc.
- Manage all monthly rental billing in a timely fashion.
- Monitor the billing revenue cycle to ensure claims are submitted and payments are received and posted in the designated time frame.
- Ensure all required documentation and approvals are sent and received in a timely fashion.
- Monitor and manage denials as received by all insurances billed by Riggs Hospital Supplies, Inc.
- Manage Continuum® account dashboard(s) to ensure proper billing for all items dispensed.
- Monitor and manage unresolved claims reports to ensure all sales order submissions are reviewed and resolved by the appropriate payor in a timely fashion.
- Address and answer claim and billing-specific questions to patients and referral customers.
- Manage payment receipt and posting using internal systems
- Monitor and manage denials as received by all insurances billed by Riggs Hospital Supplies, Inc.
- Keep patient files up to date, organized and secured according to all HIPPA laws & regulations.
- Assist in customer service and training of new employees when necessary.
EDUCATION/EXPERIENCE:
High School Diploma or GED required. Bachelor’s degree preferred.
2+ years business experience required. Medical billing experience preferred.
OTHER SKILLS and ABILITIES:
Ability to use standard office equipment (e.g. office copier, computers required). Must be able to use several computer software programs, especially Microsoft Excel, Word and PowerPoint. Brightree experience preferred.