Job Description

About Us

Upperline Health launched in 2017 and is the nation\xe2\x80\x99s leading comprehensive and coordinated lower extremity healthcare organization. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassionate team. We specialize in targeting patients at risk of developing complications and intervening earlier with an innovative care management approach to prevent more serious consequences. Upperline Health is based out of Nashville, TN and currently has practices in Alabama, California, Florida, Georgia, Indiana, Kentucky and Tennessee.

Benefits

Comprehensive benefit options include medical, dental and vision, 401(k), and PTO.

About the Medical Biller

Upperline Health is looking for a Medical Biller to work within our revenue cycle function to be responsible for medical A/R and claims management for 8 to 10 of our physicians. The Medical Biller will have a diverse set of revenue cycle responsibilities including appealing claim denials, working claim holds, monitoring staff claim submission, overseeing the reconciliation of time-of-service collections, and maintaining acceptable A/R aging. Upperline\'s medical billers must have effective communication skills as they are in a collaborative position working with revenue cycle managers, clinic staff members, patients, insurance representatives, and physicians. This individual needs to be a self-motivated, problem-solver, and able to multi-task effectively in a fast-paced environment. As Upperline continues to rapidly grow, this position presents a range of future career growth opportunities.

Open to remote. Ideal candidates will reside in Nashville.

What You\xe2\x80\x99ll Do

• Maintain A/R aging balances within revenue cycle department standards for assigned 8-10 physicians
• Effectively and efficiently work a minimum of 60 claims per day
• Draft and send claim appeal letters with a high success rate
• Answer patient and/or staff questions regarding billing issues
• Identify suboptimal patterns in physician and/or staff revenue cycle behaviors
• Collaborate with physicians on clinical documentation, code selection, and other relevant issues
• Collaborate with clinic staff regarding charge posting, referrals, authorizations, and insurance verification
• Oversee accurate reconciliation of time-of-service collections and execution of the processes that are compliant with the revenue cycle department\xe2\x80\x99s standards
• Review and send patient accounts to outside collections partner
• Review and validate patient refund requests
• Assist with insurance authorizations and verification of benefits

Qualifications of the Medical Biller

• Minimum of 1-2 years of medical billing, coding, and collections experience is preferred
• Open to training motivated, entry level or new graduates of medical billing programs
• Podiatry or Ortho experience is a plus
• Current knowledge of coding, billing and reimbursement for commercial insurance, Medicaid, and Medicare
• Thorough understanding of EOBs, patient billing summaries, and other similar documents
• Ability to read clinical documents to confirm accurate coding
• Effective communication skills, both written and verbal
• Previous electronic medical records (EMR) system experience, preferably athenahealth
• Proficient in Excel
• Desire and ability to comply to department\xe2\x80\x99s best practices and hit daily, weekly, and monthly targets
• Strong time management and critical thinking skills

Job Type: Full-Time

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Upperline Health