Physician Billing Specialist-Full Time-Days

Cape Fear Valley Health

4d • Onsite

About The Position

Handle all aspects of Accounts Receivable for professional claims including denial management, analysis of denials, follow up on unpaid claims and identify barriers to reimbursement.

Requirements

• High school graduate or equivalent required
• 1-year experience in physician billing, medical practice charge entry or coding and/or hospital revenue cycle process and practices required
• Knowledge of medical billing and insurance reimbursement practices and procedures and medical insurance requirements
• Communication skills
• Excellent customer service and teamwork
• Computer skills including Microsoft suite
• Knowledge of medical terminology, ICD-9 and CPT-4 coding
• Ability to type accurately 45 words per minute

Responsibilities

• Follow up on outstanding A/R by working and analyzing denials, following up on unpaid claims (primary, secondary or tertiary) with payers and researching issues that have contributed to unpaid claims
• Ensure accurate claim processing by following up with payers as needed using payer websites and phone calls to ensure timely payment
• Work in revenue cycle system to process claims, check eligibility and make corrections to ensure customers and payers receive accurate and timely claim resolution
• Coordinate and communicate with practices/hospital departments as needed to answer claim related questions and process claims accordingly
• Research and make necessary corrections to insurance company requests through timely follow-up and correspondence (i.e medical record requests, appeals, claims resubmissions)
• Complete Payment Tracking Forms when monies have been sent to the hospital
• Complete refund forms for monies due to an insurance company or a patient due to an overpayment
• Keeps management team abreast of challenges with reimbursement or claim related trends
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED