Revenue Cycle Billing & Denials Specialist

Vanderbilt University Medical Center; Nashville (TN); On-site; USD 38,000 - 52,000; Full time

Job summary

Vanderbilt University Medical Center is seeking a Billing Specialist to coordinate the billing and follow-up process between the organization, payers and patients with minimal guidance. You will review patient accounts, verify insurance details, and identify discrepancies to ensure accurate charges and timely resolutions.

The role requires handling claims, payments, adjustments, denials and maintaining precise documentation while collaborating with multiple departments and insurance providers to

Qualifications

• Experience in patient billing or healthcare revenue cycle.
• Ability to identify discrepancies in charges and insurance.
• Strong data entry and documentation skills.

Responsibilities

• Reviews and investigates patient billing concerns, identifies discrepancies in medical charges, verifies insurance discrepancies in medical charges, verifies insurance payments and adjustments and coordinates with the appropriate departments to ensure accurate billing and timely resolution of patient account issues.
• Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
• Accesses and corrects, if needed, demographic, insurance and financial information.
• Provides accurate account maintenance and documentation.
• Serves as a liaison with insurance companies, third party payors, and administrative personnel.
• Analyzes incoming financial data to identify, reconcile, and resolve patterns resulting in erroneous or no reimbursement.

Skills

Revenue Cycle

Coding Knowledge

Data Entry

Education

High School Diploma or GED

Job description

Vanderbilt University Medical Center is seeking a Billing Specialist to coordinate the billing and follow-up process between the organization, payers and patients with minimal guidance. You will review patient accounts, verify insurance details, and identify discrepancies to ensure accurate charges and timely resolutions.

The role requires handling claims, payments, adjustments, denials and maintaining precise documentation while collaborating with multiple departments and insurance providers to