Medical Billing Specialist

VIA Health Partners • Charlotte, NC

5d • Onsite

About The Position

VIA Health Partners is a community-based, not-for-profit hospice and palliative care provider. The Medical Billing Specialist processes and reviews claims, maintains accurate patient billing records, submits claims to government and commercial payers, follows up on outstanding accounts receivable, and supports monthly billing and revenue reporting. The role works with financial and clinical teams and responds to reimbursement questions from patients, physicians, and insurance companies.

The position is full-time and based at the South Charlotte Office in Charlotte, North Carolina. It is a day-shift role with no travel required. The listed education level is a two-year degree, and the salary range is undisclosed.

Requirements

• Associate degree in a related technical discipline, or an equivalent combination of education, technical certifications, training, or work experience.
• At least 4 years of work experience in billing, insurance accounting, and/or accounts receivable procedures in a healthcare facility.
• Computer proficiency in Microsoft Office Suite.

Responsibilities

• Make corrections or additions to patient records in accordance with organizational policies, including changes to level of care, location, or payer source.
• Enter physician and nurse practitioner visits and charges into the patient care system.
• Ensure miscellaneous charges, such as consulting physician charges, are included on claims.
• Review claims for accuracy and coordinate with other departments to resolve issues before submission.
• Generate UB-04 and/or HCFA 1500 claims and submit them to Medicare, Medicaid, and third-party payers.
• Enter claims into insurance providers’ online systems or mail them as needed.
• Correspond with Medicare, Medicaid, and third-party payers about claim status and resolution of unpaid or denied claims.
• Assist with monthly billing, cash reconciliation, and revenue reporting.
• Assist with Medicare and Medicaid eligibility verification as needed.
• Assist with obtaining commercial insurance authorizations as needed.
• Respond to reimbursement inquiries from patients, physicians, and insurance companies.
• Regularly review aging reports and follow up on outstanding claims.
• Coordinate with financial and clinical team members to resolve outstanding claims issues.
• Review the A/R Specialist’s report of items to be billed to a secondary payer, including self-pay, and submit secondary claims as needed.
• Prepare write-offs for submission to the A/R Specialist after applicable collection efforts have been exhausted.
• Perform other duties as required.

Benefits

• Medical, vision, and dental plans through BCBS
• 28 days of paid time off
• Mileage reimbursement
• 403(b) retirement plan with matching
• Programs honoring veteran patients
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN) certification
• Orientation and onboarding program
• Career growth guidance from experienced hospice leaders

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree