Senior Revenue Cycle & Denials Specialist

Vanderbilt Health; Tennessee; Remote; USD 45,000 - 60,000; Full time

Benefits offered by this job

Health benefits

Disability benefits

Retirement plan

Wellness programs

Job summary

Vanderbilt Health is seeking a Billing Specialist to coordinate billing and follow-up between the organization, payers, and patients with minimal supervision. The role requires monitoring trends in denials and taking corrective action as needed.

A High School Diploma or GED is the stated education requirement. The position emphasizes accurate data entry, effective communication with payers, and strong knowledge of ICD-10-CM/PCS coding.

Qualifications

• Coordinates the billing and follow-up process between the organization, payers and patients with minimal guidance.
• Recognizes, researches, reconciles, and reports corrective action plans on trends related to patient account inquiries and payer denials.

Responsibilities

• Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
• Accesses and corrects 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

Billing & follow-up

ICD-10 coding knowledge

Data entry accuracy

Payer communications

Education

High School Diploma or GED

Tools

Billing software

Electronic health record

Excel

Job description

Vanderbilt Health is seeking a Billing Specialist to coordinate billing and follow-up between the organization, payers, and patients with minimal supervision. The role requires monitoring trends in denials and taking corrective action as needed.

A High School Diploma or GED is the stated education requirement. The position emphasizes accurate data entry, effective communication with payers, and strong knowledge of ICD-10-CM/PCS coding.