Lead Account Reimbursement Specialist (Hospital Billing)

Coordinates the billing and follow-up process between the organization, payers and patients independently. Analyzes and reports on insurance denial causes and trends. Acts as a resource and mentor for peers. Key Responsibilities Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances. Accesses and corrects, if needed, demographic, insurance and financial information. 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. Performs account audits in their entirety as well as other complex projects. Prepares and maintains complex reports and records requiring the identification of sources, compilation, analysis and evaluation of data. The responsibilities listed are a general overview of the position and additional duties may be assigned. Technical Capabilities Data Entry (Intermediate): Ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately. Peer Leadership (Novice): Ability to show leadership and influence people of equal rank in an effort to accomplish team goals. Coding Knowledge (Intermediate): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems. Revenue Cycle (Intermediate): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance. Position Qualifications Work Experience: 5 years Education: High School Diploma or GED Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled. #J-18808-Ljbffr Vanderbilt University Medical Center