The Billing Support Specialist is responsible for printing and mailing paper claims, ensuring all necessary backup documentation is attached, such as medical records, secondary remits, and itemized bills.

On-site / Location: Franklin, TN

Primary Duties and Responsibilities

• Print and mail paper claims four to five times weekly, ensuring all necessary backup documentation is attached, including medical records, secondary remits, and itemized bills.
• Notate actions taken on patient accounts within the EHR system.
• Manually enter secondary billing for various states as required, maintaining productivity and clean entry rates.
• Perform billing and follow-up on industrial accounts.
• Assist other team members when necessary.
• Perform other job duties as assigned.

Administrative Duties

• Accurately input and submit worked time by the required departmental deadlines.
• Maintain knowledge of insurance payors and collection regulations.
• Stay updated on industry knowledge through self-study and training courses.
• Attend and participate in team and departmental meetings.
• Respond effectively to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner.
• Adhere to all HIPAA Privacy and Security requirements and responsibilities.
• Perform duties and responsibilities in a positive manner that upholds company policies and procedures.

Knowledge, Skills, and Abilities

• Proficiency in computer applications or other automated systems, such as Excel spreadsheets, Word, email, and database software.
• Basic knowledge of hospital billing, revenue cycle, and medical terminology.
• Understanding of Explanation of Benefits (EOB), state, and federal guidelines.
• Ability to understand and interpret correspondence regarding payments, refunds, or underpayment requests.
• Ability to navigate healthcare information systems and clearinghouses.
• Excellent verbal and written communication skills, good judgment, tact, initiative, and resourcefulness.
• Detail-oriented, organized, and able to multi-task.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Flexible with a "can-do" attitude and able to remain professional under high-pressure situations.

Training and Experience

• High school diploma or equivalency required.
• 0-3 years of work experience, primarily focused on customer service.
• Ability to follow directions and perform work independently according to department standards.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, etc.).
• Customer service-oriented.

Other Requirements

• Ability to travel to and work in the Franklin office (4-5 days a week).
• High-speed internet access and unlimited data.
• Smartphone for DUO authentication.