Ambulatory Claims Analyst (69213)

ONSLOW MEMORIAL HOSPITAL•Jacksonville, NC

2d•Onsite

About The Position

Responsible for the billing, review and follow-up of all outstanding patient clinic accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD9, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. May be required to work overtime if needed.

Requirements

High School graduate or recognized equivalent GED.
Two years of specialized training in billing and follow up procedures.

Nice To Haves

At least one year relevant experience in a physician based business office setting preferred.

Responsibilities

Billing of outstanding patient clinic accounts
Review of Patient Accounting Desktop
Review of Clearinghouse billing list
Review of Intermediary on line error list
Contact insurance companies and patients
Filing primary, secondary and tertiary insurance
Re-bills
Review payment remittance
Review line item denials and claim rejections for possible appeal and/or research for resubmission
Use of multiple payer software systems
Knowledge of billing codes including CPT, ICD9, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats
Facilitate complete and prompt payments from third party payers to ensure maximum cash flow