Professional Billing Specialist

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918025

Vidant Medical Group

Full Time

Regular

Summary

About Vidant Medical Group

Vidant Medical Group is a reputable and established multi-specialty physician group that provides superior care for the health and wellness needs of eastern North Carolina's patients. With more than 350 primary and specialty care providers in more than 70 locations, quality health care is never far from home.

Responsibilities

1.  Review and make all necessary corrections to claims that do not pass the billng edits.

  • Process all claims through clearinghouse software and correct errors and rejections to insure claims reach third party payers correctly and efficiently.
  • Update billing and clearinghouse, as needed, to insure claim and processing information is complete and correct.
  • Provide updates and feedback to management and operational users regarding integrity of claim information.

2.  Promptly post all payments and remittance advice information and reconcile billing system, banking deposits, and posting documentation.

  • Post all payments, adjustments, and denials daily.
  • Maintain reconciliation spreadsheets daily.
  • Provide information to management and financial accounting department regarding cash collection and adjustments.

3.  Address, adjudicate, and rebill all third party claim denials and outstanding claims, as necessary.

  • Aggressively perform follow-up duties on all third party claims on a timely basis.
  • Rebill claims as necessary to secure payment for services rendered. c.Write off non-collectible amounts in agreement and coordination with management and administration.

4.  Produces and understands various reports related to revenue generated A/R and A/R aging.

  • Use report information to perform claim reconciliation and A/R management in an efficient and targeted manner.
  • Generate and maintain scheduled reports as instructed.
  • Documents all billing and collection activities in a standard format.

5.  Performs other related responsibilities as requested or required.

  • Participates in CQI activities.
  • Demostrates Service Excellence c.Addresses all billing and insurance questions that are encountered.

Minimum Requirements

  • Associate college degree in Accounting , Business or related required.
  • Three-five years experience in medical billing office, agency or third party payor organization that bills for physicians' services required.
  • One year of additional experience may be substituted for one year of the required education, with a maximum substitution of two years.

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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