Vanderbilt University Medical Center Account Reimbursement Specialist - Billing & Payor Enrollment in Nashville, Tennessee

Account Reimbursement Specialist - Billing & Payor Enrollment

Discover Vanderbilt University Medical Center:

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Click Here To View The VUMC Promise of Discovery

JOB SUMMARY:

Coordinates the billing and followup process between the organization, payers and patients with occasional guidance. Reviews denials and works with third party payers to ensure accurate reimbursement. Monitors, audits, and processes payments and adjustments to accounts.

KEY RESPONSIBILITIES:

  • 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.

  • The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

DATA ENTRY - The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.

REVENUE CYCLE - Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

CORE ACCOUNTABILITIES:

  • Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.

  • Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.

  • Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.

  • Team Interaction: Provides guidance to entry level co-workers.

VUMC Recent Accomplishments:

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

  • US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, #1 Audiology ( Bill Wilkerson Center at http://www.vanderbilthealth.com/billwilkerson/ ), 12 adult and 10 pediatric clinical specialties ranked among the nation's best, #15 Education and Training

  • Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S.

  • Becker's Hospital Review: one of the "100 Greatest Hospitals in America"

  • The Leapfrog Group: grade "A" in Hospital Safety Score

  • National Institutes of Health: among the top 10 grant awardees for medical research in the US

  • Magnet Recognition Program: Vanderbilt nurses are the only group honored in Middle Tennessee

  • Nashville Business Journal: Middle Tennessee's healthiest employer

  • American Hospital Association: among the 100 "Most Wired" medical systems in the US*CA

High School Diploma or GED (or equivalent experience) and 2 years relevant experience

Licensure, Certification, and/or Registration (LCR):

Job Medical Coding and Billing

Organization: Billing & Payor Enrollment 108443

Title: Account Reimbursement Specialist - Billing & Payor Enrollment

Location: TN-Nashville-Vanderbilt Health One Hundred Oaks (OHO)

Requisition ID: 1808281

Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.