BASIC PURPOSE OF THE JOB Ensures accurate billing and collection of Home Health receivables. Reviews accounts to ensure payments from contracted payers are correct. Ensures collection of payment variances. Works closely with families and home health staff to address questions/concerns and ensures proper insurance coverage for child. Ensures clean claims and timely follow up with insurance companies JOB REQUIREMENTS Minimum Education High School/GED Required Minimum Work Experience Home Health billing and collection experience preferred. Required Licenses/Certifications for position NO Required Skills, Knowledge, and Abilities Excellent customer service skills and ability to work well with a team required. Familiar with rules and regulations of CMS and third party payers to ensure proper collection of insurance data to finalize claims for proper billing to proper payer on first time claim submission. Ability to work with insurance companies to ensure timely payment of claims. Problem solving skills required. Strong computer skills required PHYSICAL REQUIREMENTS Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. Light lifting, pushing and pulling is required for 10-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
East Tennessee Children's Hospital is a 152-bed hospital certified by the state of Tennessee as the only Comprehensive Regional Pediatric Center in East Tennessee and is accredited by the Joint Commission. As a Comprehensive Regional Pediatric Center, Children's Hospital offers full capabilities to care for seriously ill children in a unique pediatric environment and offers the services of many di...fferent pediatric subspecialties. Children's Hospital works jointly with the University of Tennessee Medical Center to ensure that injured children in this region receive trauma care at the institution most appropriate for the child's needs. We also assist smaller hospitals by providing pediatric health care training opportunities.