Bryon Pickard, Director of Operations
(615) 936-2000 (Office)
(615) 936-0605 (Fax)
Hours of Operation: 8:00-4:30
Vanderbilt Medical Group Business Office
Provide all centralized billing and collection services to support key revenue cycle processes and outcomes for the providers of the Vanderbilt Medical Group (VMG). The VMG Business Office provides routine and effective monitoring against established revenue cycle standards and goals, and consists of the following key functional areas:
Primarily responsible for the submission of claims to payors for Vanderbilt Medical Group physicians and allied health professionals. This team monitors system pre-billing edits designed to verify specific coding, compliance and payor reimbursement rules.
The Insurance Collections team follows up with all insurance companies and third party payors for accurate and timely reimbursement on outstanding healthcare claims for all Vanderbilt Medical Group providers. This team also coordinates the work of our outsourcing partner in Campbellsville, KY.
The Patient Collections team is responsible for securing payment from patients for private pay balances through various methods, and coordinates with the VMG clinics to provide financial counseling services for patients. This team also coordinates submission of delinquent accounts to external collection agencies.
The Insurance Appeals team closely monitors insurance payments and denial trends to optimize performance and ensure compliance with the terms of VMG third party contracts. The team coordinates with payor representatives to submit individual and mass appeals projects based on claim denials, underpayments, departmental requests and filing errors.
The Refunds team performs account audits based on review of credit balance reports, insurance company recoveries and individual patient requests, to ensure timely and accurate repayment of credit balances.
The Payments team is responsible for reconciliation of daily deposits received through electronic funds transfer and bank lockbox, and posting of payments and insurance contractual adjustments by electronic remittance advice and paper remittances. This team also facilitates completion of EOB scanning for document imaging system archival and future retrieval.
This team maintains a steadfast commitment to customer service by assisting patients in answering questions and resolving issues related to insurance billing, patient balances, and payments. The Patient Representative team champions excellent customer service and support for both the Vanderbilt Medical Group and the Vanderbilt University Medical Center.
Provide administrative and clerical support to Directors and Assistant Directors, including coordinating calendars, signature authorizations, payroll administration, job postings, personnel action changes and additional Human Resources services. This team also serves as primary contact for purchase orders, maintenance and facility services, emergency preparedness and other administrative functions.
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