Physician Billing Specialist-Full Time-Days

Cape Fear Valley Health

5d • Onsite

About The Position

The Physician Billing Specialist handles all aspects of accounts receivable for professional claims, including denial management, denial analysis, follow-up on unpaid claims, and identifying barriers to reimbursement. The role works with payers and internal practices and hospital departments to resolve claims accurately and promptly.

Requirements

• High school graduate or equivalent.
• At least 1 year of experience in physician billing, medical practice charge entry or coding, and/or hospital revenue cycle processes and practices.
• Proficiency in reading, writing, and speaking English.
• Knowledge of medical billing and insurance reimbursement practices and procedures, and medical insurance requirements.
• Communication skills.
• Excellent customer service and teamwork skills.
• Computer skills, including Microsoft suite.
• Knowledge of medical terminology, ICD-9, and CPT-4 coding.
• Ability to type accurately at 45 words per minute.
• Motor coordination and finger dexterity to operate a calculator, computer keyboard, and typewriter.
• Ability to perform light lifting and carrying as needed.
• Ability to reach for and handle lightweight files.

Responsibilities

• Follow up on outstanding accounts receivable by analyzing denials, contacting payers about unpaid primary, secondary, or tertiary claims, and researching issues that contributed to unpaid claims.
• Use payer websites and phone calls to ensure accurate claim processing and timely payment.
• Use the revenue cycle system to process claims, check eligibility, and make corrections so customers and payers receive accurate and timely claim resolution.
• Coordinate and communicate with practices and hospital departments to answer claim-related questions and process claims.
• Research and make necessary corrections in response to insurance company requests through timely follow-up and correspondence, including medical record requests, appeals, and claim resubmissions.
• Complete Payment Tracking Forms when monies have been sent to the hospital.
• Complete refund forms for overpayments due to an insurance company or patient.
• Keep the management team informed about reimbursement challenges and claim-related trends.
• Perform other duties as assigned.

What This Job Offers

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