Billing & Reimbursement Specialist I, TUCBH
Tulane University

Job Info

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Billing & Reimbursement Specialist I, TUCBHTU Center for Brain Health

Location: New Orleans, LA

Summary

The Tulane University Center for Brain Health (TUCBH) is a clinical care and research center for Traumatic Brain Injury (TBI), Physiological conditions, and Behavioral Health (BH) conditions such as post-traumatic stress, depression and anxiety. The primary focus of the TUCBH is to care for former military personnel who have separated from active duty, with special consideration for those who were separated with "Other Than Honorable" or "Dishonorable" discharge status due to TBI or BH conditions.
The Billing and Reimbursement Specialist is responsible for the timely verification of medical insurance benefits through telephonic and electronic communication with private insurance companies, Medicare, and Medicaid, TriCare, and VA to obtain benefit information and determine insurance compatibility with health-care provider programming. This position supports program sustainability by ensuring all prior authorization work is completed prior to patient arrival.
Responsibilities include coordination and communication with patients regarding their insurance benefits and medical providers programs, re-verifying existing patient insurance coverage, and determining if an insurance benefit plan considers selected products appropriate based on patient need. Obtains pre-certification or authorization, verify insurance for all patients, including support for those who may be underinsured or uninsured.
Monitors incoming and outgoing referrals. Follows internal referral management policies and procedures. Answers telephones, directs calls, takes and delivers messages in Epic.
Ensures excellent customer service by consistently demonstrating a caring, positive, professional, and helpful disposition with all customer relations. Performs miscellaneous duties as needed to support administrative operations of the practice.

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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