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Location
Knoxville, TN, United States
Posted on
May 25, 2023
Profile
Description:
Job Description
TeamHealth has ranked three years running as The World's Most Admired Companies by Fortune Magazine and one of America's 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
Benefits:
GENEROUS Personal Time Off
8 Paid Holidays per year
Learning and Development- internal subject matter experts offer ongoing training to get you up to speed.
What You'll Love About TeamHealth:
Wellness programs
- Our LiveWell program focuses on supporting you with all of your well-being needs so you can thrive Physically, Emotionally, Socially, and Financially!
Health Benefits.
Medical with HSA and FSA options, dental, vision, and life insurance.
Prepare for the Future.
401K program (Discretionary matching funds available)
JOB OVERVIEW
This position is primarily responsible for ensuring that all standard and negotiated managed care contracts are loaded timely and accurately. Key functions include preparing reimbursement calculations from reviewing standard fee schedules and communicating effectively with Managed Care and Billing Center teams to support all requests submitted. This position is also required to review and research over and underallowed variances to ensure contract terms are loaded correctly in the Payer Contracts Module.
ESSENTIAL FUNCTIONS
Ensure all necessary and required information is submitted for managed care contract loading; executed agreements, amendments, payor emails, fee schedules.
Specialize in the loading and research of anesthesia managed care contracts.
Submit loading forms through Onbase software.
Update IDX/GE - including Contract Maintenance, Pricing Module, and Payer Contracts Module.
Compile fee schedule download reports used to prepare the reimbursement based on government fee schedules.
Research underallowed and overallowed contract variances.
Participate in biweekly / monthly conference calls with Managed Care and Billing Centers.
Other duties and/or projects as assigned.
Job Requirements
JOB QUALIFICATIONS
High School diploma or equivalent required.
Minimum 2 years experience in a medical billing or office environment preferred.
Excellent written and verbal communication skills.
Ability to work with minimal direction/supervision.
Self-starter with desire to learn new systems and skills.
Analytical, focused, organized.
Skilled in time management and problem solving.
Intermediate knowledge of MS Word and MS Office 2010.
Intermediate Excel skills required.
IDX/GE software knowledge is preferred.
Ability to multitask and prioritize in a fast-paced, challenging work environment.
The information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
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