Physician Billing Specialist-Full Time-Days

Cape Fear Valley Health · United States

Job TitleFacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentPhysician Financial ServicesJob FamilyClericalWork ShiftDays (United States of America)SummaryHandle all aspects of Accounts Receivable for professional claims including denial management, analysis of denials, follow up on unpaid claims and identify barriers to reimbursement.Major Job FunctionsThe following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: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 claimsEnsure accurate claim processing by following up with payers as needed using payer websites and phone calls to ensure timely paymentWork in revenue cycle system to process claims, check eligibility and make corrections to ensure customers and payers receive accurate and timely claim resolutionCoordinate and communicate with practices/hospital departments as needed to answer claim related questions and process claims accordinglyResearch 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 hospitalComplete refund forms for monies due to an insurance company or a patient due to an overpaymentKeeps management team abreast of challenges with reimbursement or claim related trendsOther duties as assignedMinimum QualificationsEducation and Formal Training:High school graduate or equivalent requiredWork Experience:1-year experience in physician billing, medical practice charge entry or coding and/or hospital revenue cycle process and practices requiredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageKnowledge of medical billing and insurance reimbursement practices and procedures and medical insurance requirementsCommunication skillsExcellent customer service and teamworkComputer skills including Microsoft suiteKnowledge of medical terminology, ICD-9 and CPT-4 codingAbility to type accurately 45 words per minutePhysical Requirements:Motor coordination and finger dexterity required to operate the calculator, computer keyboard and typewriterLight lifting and carrying may be requiredReaching for and handling light weight filesRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity