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Medical Billing Specialist

Elite Sports Medicine + Orthopedics is searching for a detail-oriented, experienced Medical Billing Professional in the Nashville area!

Elite Sports Medicine + Orthopedics provides the highest level of subspecialized orthopedic care and customer service. Our physicians and team are committed to excellent and integrated care, and our facilities and programming are dynamic and innovative. This Billing Specialist is responsible for improving account delinquency, contacting insurance companies to resolve issues, and assist patients with questions and refunds.

    Job Responsibilities:
  • Work weekly reports to improve account delinquency
  • Provide customer service regarding collection issues
  • Process customer refunds
  • Process and review account adjustments as needed
  • Resolve discrepancies in payments from insurance companies
  • Process Letters of Medical Necessity
  • Work denials through appeal process
  • Process secondary/tertiary claims
  • Accountable for reducing delinquency of assigned accounts
  • Perform other assigned tasks and duties necessary to support the AR Department
  • High school diploma required
  • College education or trade school preferred
  • Two years of recent and continual experience in high-volume insurance claims processing
  • Knowledge of Billing and Collections procedures
  • Knowledge of CPT and ICD-10-CM coding
  • Orthopedic claims experience a plus
  • Knowledge of MS Office Suite, especially Word and Excel
  • Excellent written and verbal communication abilities
  • Strong attention to detail
  • Goal-oriented
  • Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement
  • Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process
    Key Success Factors
  • Live our Core Values
  • We Treat Everyone Like a VIP
  • We Take Ownership
  • We Are a Great Team
  • We Are Passionate About What We Do

    Benefits include Health, Dental and Vision insurance and 401k participation and match. We have high standards for Professionalism and Patient Care. We are looking for an individual with outstanding attention to detail and organizational skills to support our business of providing world-class orthopedic care. If you are committed to putting your energy and time into supporting one of the finest sports medicine and orthopedic centers in the country, submit your resume today!

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