Overview:
CHI Memorial Medical Group (Mountain Management Services), a member of CommonSpirit Health, is a leading provider of comprehensive office management services for Memorial Health Partners and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI(tm), CMS, Healthgrades(r), Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Responsibilities:
* Receives and responds in a timely and professional manner to all billing-related questions posed by clinic staff; serves as liaison with various Revenue Cycle teams and other departments to respond to, or initiate response to, clinic questions.
* Identifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority.
* Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation and written responses to clinic issues; maintains confidentiality of medical records.
* Maintains current knowledge of internal, payer, and government regulations as applicable to assigned function.
* Establishes and maintains professional and effective relationships with peers and other stakeholders.
Qualifications:
Minimum Qualifications:
* High School Diploma or GED equivalent
* Knowledge of general concepts and practices that relate to the healthcare field, insurance follow-up process, clinic operations, regulatory/reporting requirements, operation medical insurance, payer contract, and basic medical terminology and abbreviations
* Excellent customer service, attention to detail, critical thinking, and the ability to maintain confidentially of medical records, troubleshooting
* Ability to understand and apply detailed billing requirements and cash posting processes and effectively prioritize
Preferred Qualifications:
* Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
* Graduation from a post-high school program in medical billing or other business-related field
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