JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: Under the direction of an assigned supervisor, this position provides administrative support to the UT Internal Medicine & OB/GYN (Knoxville) by handling accounts receivable matters such as coding, billing, financial counseling, charges and payments, follow up on claim denials, care reporting, proper code selection, etc.
DUTIES AND RESPONSIBILITIES:
Inputs entries of related charges for Internal Medicine and Obstetrics and Gynecology (OB/GYN).
Ensures information is in accordance with billing methods as set forth by Centers for Medicare and Medicaid Services (CMS) and College of Medicine (COM).
Enters payments and conducts electronic posting of payments through Centricity Practice Solution: Practice Management (CPS PM) Billing module.
Evaluates International Classification of Disease (ICD 10) and Current Procedural Terminology (CPT) coding prior to billing and receives clarity from physicians, when necessary.
Supports Internal Medicine Clinic with attaining prior authorizations for outpatient testing.
Completes outstanding accounts receivables by inquiring on claims denials and insurance matters.
Ensures the accuracy of weekly deposits.
Assesses Episodes of Care for errors and omissions.
Researches corrections and communicate them to TennCare Managed Care Organization (MCO).
Performs other related duties as assigned.
Internal Number: 235364
About Knoxville
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