Billing System Support Coordinator

TeamHealth; Knoxville (TN); Remote; USD 48,000 - 62,000; Full time

Job summary

A leading healthcare organization is seeking a Billing Systems Support Coordinator for a remote position. The successful candidate will be responsible for handling IDX dictionary file setup, managing claim queries, and maintaining timely production processes. Essential qualifications include a high school diploma and strong communication skills. This full-time role involves analyzing claims data and supporting billing operations across various healthcare processes.

Qualifications

• High school diploma or equivalent required.
• Demonstrated knowledge of physician billing is a plus.
• Excellent communication and organizational skills are crucial.
• Computer literate.
• Excellent follow-up skills.
• Excellent organizational skills.
• Detailed oriented.

Responsibilities

• Handle IDX dictionary file set up and queries.
• Research carrier claim logic problems.
• Review Onbase Reports for claim issues.
• Generate internal and external reports.
• Coordinate with IDXM on complex report requests.
• Maintains knowledge of Informatics and generates reports.
• Coordinate and communicate with IDXM on complex report request and claim issues.
• Read and report pertinent information to claims filing requirements impacting Billing Center processes for all carriers submitting newsletters.
• Review and provide comments to Unbilled Charges Exception Report.
• Complete ETM Edit Escalated work flow.
• Add Sanction Dates for Providers and Submit claim issues for Asst providers to hold.
• Assist in any special project requested by management.
• Process and upload the AB75 San Joaquin County Claim File.
• Run UDA report and transfer invoices past the filing limit or invoices not processed for payment due to no available funds to PR.
• Maintain the completion of the claim issues log.
• Complete AES Group Module request form Registration.
• Complete claim refiled related to resolved claim issues.
• Communicate EMC Syntax functional errors to appropriate department.
• Participate in Claim Issue Meeting on biweekly basis.
• Participate in monthly meeting with Patient Accounts management.

Skills

Excellent oral and written communication

Computer literate

Excellent follow-up skills

Excellent organizational skills

Detail-oriented

Education

High school diploma or equivalent

Job description

Overview

JOB DESCRIPTION OVERVIEW: Billing Systems Support Coordinator is responsible for handling IDX dictionary file set up, queries, month end, reports and processes. Accurately maintains production to ensure timely and efficient completion.

Responsibilities

• Research with carrier claim logic problems and changes
• Review and complete Onbase Reports for claim issues that need researched, tested, and signed off
• Review of IDX for new facility start-ups
• Review In-Use or On Hold batches at month-end closing BAR and PCS
• Write and generate queries for internal and external report request
• Maintains knowledge of Informatics and generates reports
• Coordinate and communicate with IDXM on complex report request and claim issues
• Read and report pertinent information to claims filing requirements impacting Billing Center processes for all carriers submitting newsletters
• Review and provide comments to Unbilled Charges Exception Report
• Complete ETM Edit Escalated work flow
• Add Sanction Dates for Providers and Submit claim issues for Asst providers to hold
• Assist in any special project requested by management
• Process and upload the AB75 San Joaquin County Claim File
• Run UDA report and transfer invoices past the filing limit or invoices not processed for payment due to no available funds to PR
• Maintain the completion of the claim issues log.
• Complete AES Group Module request form Registration.
• Complete claim refiled related to resolved claim issues.
• Communicate EMC Syntax functional errors to appropriate department.
• Participate in Claim Issue Meeting on biweekly basis.
• Participate in monthly meeting with Patient Accounts management.

Qualifications / Experience

• High school diploma or equivalent required.
• Demonstrated knowledge of physician billing.
• Excellent oral and written communication.
• Computer literate.
• Excellent follow-up skills.
• Excellent organizational skills.
• Detailed oriented.

Supervisory Responsibilities

• None

Location

Remote

Working Level

Full-Time

Job Category

Healthcare, Insurance, QA-Quality Control

LinkedIn: No

Career Builder: Yes

ID: 57822BR