Medical Insurance Billing and Accounts Receivable Representative Job ID 2018-23509 Employment Type full-time Hours Per Week 40 Onsite Work Schedule Details M-F Address 565 Marriott Drive City Nashville State TN Overview The Medical Insurance Billing and Accounts Receivable Representative bills patient accounts to the appropriate government or commercial healthcare insurance company for payment and ensures the timely collection of insurance receivables. Responsibilities * Follows up on all claims from billing through final resolution. * Reviews and prepares claims for manual and/or electronic billing submission. * Identifies billing errors for correction and resubmits claims to insurance carriers. * Follows up on payment errors, low reimbursement and denials. * Reviews insurance EOBrsquo;s and initiates appeals as necessary. * Prints and mails UB04s or HCFA 1500s as necessary for account resolution. * Remains up to date with all commercial and managed care pricing models, rules and regulations. * Remains up to date with all Medicare and Medicaid rules and regulations. * Supports nThriversquo;s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to nThriversquo;s business practices. This includes: becoming familiar with nThriversquo;s Code of Ethics, attending training as required, notifying management or nThriversquo;s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. Qualifications * High school diploma or GED. * 2+ years of experience in healthcare insurance billing and accounts receivable follow up, working directlywith government or commercial insurance payers. * 2+ years of experience with billing platforms for claims management. * Demonstrated experience ensuring accurate billing by reviewing UB04 and 1500 forms for accuracy and resolving all edits required. * Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up. * Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices. * Proficiency with MS Excel, MS Word and MS Outlook. * Demonstrated success working both individually and in a team environment. Preferred Skills * Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian or STAR. About nThrive Be Inspired. Ignite Change. Transform Health Care. FromPatient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.