Reimbursement Specialist - Knox

Company: Helen Ross McNabb Center
Location: Knoxville
Posted on: April 24, 2024

Job Description:

Reimbursement Specialist - KnoxDo you want to helpensure the continued success of an organization known for its positive impactin our community?Do you have a passion for detail oriented work and ensuring accuracy in dataentry?And do it all while working where your hard work is appreciated?Join the McNabb CenterTeam as a Reimbursement Specialist for Insurance Verification or ClaimsFollow-up today!RESPONSIBILITIES:Claims Follow-up:

• Audits all outstanding claims transactions to determine denial and take appropriate steps to correct the claim for reimbursment.Insurance Verification:
  • Obtains and verifies a client's insurance coverage and ensures procedures are covered by an individual's insurance. Both Positions:
    • Enter data accurately and update client information in billing system.
    • Perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions.COMPENSATION: Starting salary for thisposition depending on experience is:
      • HS/Equivalent: $16.25/hr.
      • Associate's: $16.57/hr.
      • Bachelor's: $16.88/hr.QUALIFICATIONS:
        • High School Diploma or Equivalent is required. Associate's or Bachelor's preferred. Experience /Knowledge:
          • Minimum 1 year of experience in medical insurance processing.
          • Experience in behavioral/mental health billing, knowledge of CPT, and medical coding preferred.
          • Understanding BHO (Behavioral Health Organizations)
          • Knowledge of insurance guidelines including HMO/PPO, Commercial, Medicare, Medicare Advantage, TennCare's, Medicaid and Private Pay.
          • Advanced computer skills with an electronic medical record (EMR), e-mail, Microsoft Word, and Excel.Physical:
            • Minimal exposure to biological hazards.
            • Hearing of normal / soft tones and close eye work.
            • Frequent sitting, standing, walking, bending, stooping, and reaching.Location:
              • Knox County, TennesseeApply today to workwhere we care about you as an employee and where your hard work makes adifference!Helen Ross McNabb Centeris an Equal Opportunity Employer. The Center provides equal employmentopportunities to all employees and applicants for employment and prohibitsdiscrimination and harassment of any type without regard to race, color,religion, age, sex, national origin, disability status, genetics, protectedveteran status, sexual orientation, gender identity or expression, or any othercharacteristic protected by federal, state or local laws. Helen Ross McNabbCenter conducts background checks, driver's license record, degreeverification, and drug screens at hire. Employment is contingent upon cleandrug screen, background check, and driving record. Additionally, certainprograms are subject to TB Screening and/or testing. Bilingual applicantsare encouraged to apply.PI9659a66d6c17-31181-34138909

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