Pre Bill Coordinator Full Time Days

Tenet Healthcare; Atlanta (GA); On-site; USD 56,481 - 86,788; Full time

Benefits offered by this job

Health & dental plans

Tuition assistance

Relocation assistance

401(k) plan

Employee stock purchase plan

EAP

Paid time off

Flexible spending accounts

Life insurance

Job summary

Tenet Healthcare is seeking an experienced Medical Billing Auditor to coordinate and resolve bill hold edits across patient accounts in Atlanta, GA. You will monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges) to ensure clean claims are billed to payers and collaborate with charging department directors on CDM changes.

The ideal candidate has an RN or LPN license, a BS in Hospital Services or related field, and prior medical auditing experience, with strong written

Qualifications

• Must have RN or LPN license.
• BS in Hospital Services or related field required.
• Experience as a Medical Auditor.

Responsibilities

• Coordinate and resolve bill hold edits on patient accounts.
• Daily monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges).
• Ensure edits are cleared and claims are billed correctly.
• Coordinate with charging department directors for CDM changes.
• Participate in the Medical Billing Audit Committee.

Skills

Communication

English proficiency

Clinical experience

10-key

CRT experience

Education

RN or LPN license

BS in Hospital Services or related field

Tools

Cerner

APC/CARDS

QS

Job description

Position Summary

Responsible for coordination and resolution of bill hold edits on patient accounts. Daily monitoring of reports and systems including APC/CARDS, QS, Discharged Not Final billed (A130), Final Billed Not Edited (A131) and Cerner suspended charges. Works with all departments to ensure edits are cleared and clean claims billed to payers. Coordinates with charging department directors for CDM changes. Participates in the Medical Billing Audit Committee.

Responsibilities

• Coordinate and resolve bill hold edits on patient accounts.
• Daily monitor reports and systems (APC/CARDS, QS, A130, A131, Cerner suspended charges).
• Ensure edits are cleared and claims are correctly billed.
• Coordinate with charging department directors for CDM changes.
• Participate in the Medical Billing Audit Committee.

Qualifications

• RN or LPN license.
• BS in Hospital Services or related field.
• Experience as a Medical Auditor.

Skills, Knowledge & Abilities

• Strong communication skills, both written and spoken in English.
• Must be able to fulfill essential functions of the position.
• Previous clinical experience.
• 10-key addition machine experience.
• CRT experience required.
• PC computer proficiency required.

Remuneration

$40.89 - $63.37 hourly. Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.

Benefits

• Competitive salaries and benefits.
• Matching 401(k) plan with 50% match up to 6% of pay.
• Health & dental plans to choose from.
• Generous tuition assistance plans.
• Relocation assistance for select positions.
• Comprehensive medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Employee assistance program (EAP).
• Paid time off, long- and short-term plan coverage.
• Employee stock purchase plan.
• Flexible spending accounts, retirement readiness tools, rollover support, financial well-being counseling.
• Tuition assistance, student loan assistance, certification support, online educational program.
• Life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, employee discount program.
• Registered nurses – Retirement medical benefit account (RMBA) – 2% of annual eligible income set aside.

Vaccination Policy

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

EEO Statement

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.