Revenue Cycle Billing Specialist

Mountain Area Health Education Center - MAHEC • Asheville, NC

88d • $22

About The Position

Manage daily billing functions for assigned patient insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP).

Requirements

• High School Diploma or GED equivalent required

Nice To Haves

• One (1) year of relevant billing experience preferred in a medical office setting
• Spanish speaking skills preferred

Responsibilities

• Maintain Accounts Receivable KPI (A/R balances older than 120 days must be less than 19% of total A/R)
• Maintain Adjusted Collection Percentage KPI (Reimbursement/Collections equal to or above 97% of Expected)
• Review and resolve denied patient insurance claims
• Assist in identifying current and/or potential billing issues specific to unpaid claims
• Post and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustments
• Post and balance all payments from patients
• Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
• Correct errors on electronic error reports
• Process and print/transmit patient insurance claims, bills and other reports
• Respond to patient account inquiries in person, by phone, or by mail; resolve problems as necessary
• Respond to inquiries from office staff regarding patient charges, appropriate diagnosis coding, and insurance coverage related issues
• Respond to inquiries from employees, payers, and patients regarding CPT and ICD-10 codes
• Maintain high level of patient confidentiality
• Ensure compliance with HIPAA regulations
• Other duties as assigned

Benefits

• Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees