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Billing & Reimbursement Specialist I

Employer
Tulane University
Location
New Orleans, LA

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Employment Type
Full Time
Institution Type
Four-Year Institution
Billing & Reimbursement Specialist ITUMG Business Services Revenue Cycle

Location: New Orleans, LA

Summary

In accordance with the accepted standards and practices of physician billing entities, to represent the physicians of the Tulane University Medical Group in the realization of all appropriate reimbursement for medical services rendered to patients. Support the billing and collection activities under the direction of the Supervisor, Manager and/or Director. Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons.  Responsible for initial billing, claim follow up, resolution of rejected claims, claim edits resolution, handling of special accounts and keeping management informed of trends, updates and unusual or urgent issues. Promote an environment of high productivity and job satisfaction.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

 

  • Familiar with governmental billing rules and regulations and other third party billing requirements
  • Knowledge and experience with ICD9 and CPT4 coding
  • Experience with personal computers, word processing (micro soft office skills)
  • Excellent oral and written communication skills
  • Must be able to work independently and meet deadlines
  • Well-developed judgment and decision-making abilities

Required Qualifications

  • High School Diploma or equivalent
  • Minimum of two years experience in healthcare business office operations

Preferred Qualifications

  • Three years physicians billing experience
  • Knowledge of group medical practice
  • Experience with compiling and analyzing data
  • Knowledge of IDX physicians billing software is a major asset

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