Insurance Analyst - Insurance Department - Greenville, NC

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930627

Vidant Health

Full Time

Regular

Vidant Health

About Vidant Health

Vidant Health is a regional health system serving 29 counties in eastern North Carolina. We are working every day to improve the health of the 1.4 million people we serve. Vidant Health is made up of 8 hospitals, physician practices, home health, hospice, wellness centers and other health care services. Vidant Medical Center is affiliated with the Brody School of Medicine at East Carolina University. As a major resource for health services and education, Vidant Health strives to support local medical communities and to work with providers throughout the region to deliver quality care. Our goal is to enhance services that are available locally and to eliminate barriers involving time, distance and lack of awareness that sometimes prevent patients from receiving the care they need.

Position Summary

Submit third party payer primary, secondary, tertiary and corrected claims utilizing electronic billing software. Reconcile all confirmation reports post-electronic submission from all third party payers. Evaluate and process the needed corrections and revalidate the claim electronically. Analyze and take appropriate action on payer rejections and denials. Aggressively performs follow-up and collections from the third party payers. Verify payments though manage care payer software for accuracy and aggressively pursue collections on underpayments. Negotiates reimbursement rates with non-contracted third party payers and case managers. Stays current on rules and regulations affecting billing, reimbursement and submission of claims. Process correspondence received from third party payers and patients. Performs other related responsibilities as required or requested. Demonstrates service excellence.

Minimum Requirements

  • High school plus two years of formal training or education in Health Occupations, Business or related or Associate Degree
  • Two years or more experience in Hospital or Physician Accounts Billing/health information technology/Third party insurance/Patient Accounting/Hospital or Physician Revenue Cycle operations.
  • One year related experience may  be substituted for one year of education up to two years
  • A four year degree in health related field may substitute for 1 year of required experience
  • Windows based PC skills to include Excel

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

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