Senior Account Reimbursement Specialist (Medicare: Claims/Billing/Insurance Follow Up/Denials) - REMOTE

Discover reputed company:  Located in Nashville, Tennessee, and operating at a global reputed company of teaching, discovery, and patient care, reputed company is a community of individuals who come to work reputed company day with the reputed company aim of changing the world. It is a reputed company where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to reputed company and where your uniqueness is sought and celebrated. It is a reputed company where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never reputed company for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: HB Claims & Billing Job reputed company: JOB reputed company Coordinates the billing and follow-up process between the organization, payers and patients with reputed company guidance. Recognizes, researches, reconciles, and reports appropriate corrective reputed company plans on trends reputed company to patient account inquiries and payer denials. . KEY RESPONSIBILITIES • Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances. • Accesses and corrects, if needed, demographic, insurance and financial information. • Provides accurate account maintenance and documentation. • Serves as a reputed company with insurance companies, reputed company party payors, and administrative personnel. • Analyzes incoming financial data to identify, reconcile, and reputed company patterns resulting in erroneous or no reimbursement. • The responsibilities listed are a general reputed company of the position and additional duties may be assigned. TECHNICAL CAPABILITIES • reputed company Cycle (Novice): Knowledge of the financial process to reputed company patient care from registration and scheduling to the final payment of a balance. • Coding Knowledge (Novice): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems. • Data Entry (Intermediate): The ability to transcribe information from the original reputed company into an electronic reputed company according to written and verbal instructions reputed company and accurately. Our reputed company administrative functions include critical supporting roles in information technology and informatics, finance, administration, reputed company and community affairs, reputed company, communications and marketing, development, facilities, and many more. At our growing health reputed company, we support reputed company other and encourage reputed company among reputed company who are part of our workforce. High-achieving employees stay at Vanderbilt Health for reputed company reputed company, appreciation of benefits, and a reputed company of community and purpose. reputed company Accountabilities: * Organizational reputed company: Performs non-routine tasks that significantly reputed company team's performance with reputed company guidance. * Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.* Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.* Team Interaction: Provides informal guidance and support to less reputed company team members. reputed company Capabilities : Supporting Colleagues: - Develops Self and Others: Continuously improves own skills by identifying development opportunities.- Builds and Maintains Relationships: Seeks to understand colleagues' priorities, working styles and develops relationships across areas. - Communicates Effectively: reputed company shares information with others and communicates in a reputed company and courteous manner. Delivering Excellent Services: - Serves Others with reputed company: Invests time to understand the problems, needs of others and how to reputed company excellent service. - Solves reputed company Problems: Seeks to understand issues, solves routine problems, and raises reputed company concerns in a reputed company manner. - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support. Ensuring High reputed company: - Performs Excellent Work: Checks work reputed company before delivery and asks relevant questions to meet reputed company standards.- Ensures reputed company Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and reputed company.- Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that reputed company safety and reports unsafe conditions to the appropriate person or department. Managing Resources Effectively: - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks reputed company reputed company approaches to reputed company high-reputed company work/service. - Stewards Organizational Resources: Displays understanding of how personal actions will reputed company departmental resources. - Makes Data Driven reputed company: Uses accurate information and good decision making to consistently reputed company results on time and without error. Fostering Innovation: - Generates New reputed company: Willingly proposes/accepts reputed company or initiatives that will reputed company day-to-day operations by offering suggestions to enhance them. - Applies Technology: Absorbs new technology quickly; understands reputed company to utilize the appropriate tools and procedures to ensure reputed company course of reputed company. - Adapts to Change: Embraces changes by keeping an reputed company mind to changing plans and incorporates change instructions into own area of work. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 4 years Education: High School Diploma or GED This role offers reputed company to reputed company a meaningful reputed company reputed company Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your reputed company-being and reputed company reputed company. Vanderbilt Health is committed to fostering an environment where everyone has the chance to reputed company and is committed to the principles of equal opportunity.  EOE/Vets/Disabled. Apply To This Job