Overview

CHI Memorial Mountain Management Services

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees' well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

Responsibilities

Expectations:

• Knowledge of accounting, credit, collection laws, current insurance and government financial assistance programs and regulations, as well as clinic financial options, payment alternatives, insurance billing/authorization requirements

• Knowledge of federal and state payor requirements (Medicare, DSHS, HMO/PPO Contracts), medical terminology, abbreviations and coding protocols (e.g./ ICD-10),
• Ability to explain reimbursement questions regarding health-plan eligibility, benefit issues, co-pay requirements and medical referral requirements, billing processes, hospital and clinic statements and availability of financial assistance, alternative medical financing and assists in completion of applications and/or contracts in order to meet patient needs while assuring maximum reimbursement
• Receive and process charity care and/or financial assistance applications, work with health insurance providers to determine coverage and benefit limits
• Verify financial information to determine insurance coordination of benefits, pre-certification/prior authorization requirements, estimates of procedures, calculates payments requirement, and informs patient of acceptable payment arrangements on balance, both current and previous

Qualifications

Minimum:

• High school diploma or equivalent
• 2 - 4 years related experience

Preferred :

• Computer literacy
• Excellent communication and people skills

Skills: Medicare, DSHS, HMO/PPO Contracts, ICD-10, Accounting, medical back office, Hospital Billing, Physician Billing, Payment, Problem Solving, regulatory, reporting, customer service, medical terminology, medical billing, medical records, insurance, reimbursement, payer regulations, #missioncritical , CSR

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