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Billing Lead @ Tenet Healthcare Corporation

Southfield, MI, United StatesRemoteFull-timeJob reference 2603028416
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About this role

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

This is a remote position.

Assists with the coordination and supervision of daily activities of a group of Billing Specialist as well as support billing and collections functions of the medical practice.

  • Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
  • Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality

Agreement.

  • Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
  • Provides direction and guidance to less experienced team members.
  • Recognizes and recommends areas needing improvement.
  • Assist in scheduling and coordinating team activities.
  • Handles escalated and unresolved issues from less experienced representatives.
  • Enter charges in a timely manner
  • File claims and run/work audit trails daily Process ERAs, payments, and adjustments
  • Balance daily activity- Prepare and send Batch Cover Sheet to Director and accounting Ensure that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit Review/work delinquent insurance and patient balances Work credit balances Run reports as requested by management or accounting. Other responsibilities as assigned.

Education: High school diploma/GED required with completion billing or coding program preferred.

Certification

Experience: Must have a minimum of 5 years of experience working in medical billing

Other

Requirements

None

Performance Requirements

Knowledge

  • 1. Knowledge of Accounts Receivable collection process
  • 2. Knowledge of the Red Flag rules
  • 3. Knowledge of Electronic Health Systems
  • 4. Knowledge of ICD-9 and CPT codes

Tenet Healthcare/TPR complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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Skills

Medical billingAccounts ReceivableICD-9CPT codeselectronic healthcare systemsHIPAA Complianceaudit trail

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