Revenue Cycle Billing Specialist

Mountain Area Health Education Center - MAHEC•Asheville, NC

2d•Onsite

About The Position

Manage daily billing functions for assigned patient and 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

Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
Ability to use/learn Allscripts products and various insurance company websites.
Associate Degree in Business, Health Administration, or a related field
Three (3) years relevant experience in dental, or a comparable combination of education and/or experience.

Nice To Haves

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
Review and resolve collection accounts
Patient Refunds
Manage Online payment portals
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