Supervisor - Follow-up Insurance - Greenville, NC

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916644

Vidant Health

Full Time

Regular

Summary

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 9 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.

Responsibilities

  • Coordinates and directs the daily activities of the Insurance Analysts responsible for billing claims for Vidant hospitals and SSEC, primary, secondary and tertiary. 
  • Determines professional learning needs of staff and identifies short/long-term goals relevant to their position. 
  • Reviews and evaluates Work Q’s & SSI daily to ensure adequate and timely billing is performed and the work-load is equally distributed. 
  • Stays current on all of the contractual agreements with third party payers and the affects on claim filing/contract management as it applies to each UHS hospital and SSEC. 
  • Responsible for hiring, training, scheduling, performance evaluations and time and attendance. 
  • Reviews and approves contractual, administrative and legally un-billable adjustments in accordance with the policy. 
  • Reviews & evaluates the daily errors in the SSI translation for all payers as well as FISS and BlueE to ensure appropriate edits are in place and to identify system issues. 
  • Supervises and coordinates the daily processes associated with the SSI Remote ClickOn system (Billing system) and the daily processes associated with SSI Direct (a component of the Billing system.)
  •  Performs other related responsibilities as required or requested.
  •  Demonstrates service excellence. 

Minimum Requirements

  • High school plus 2 years or formal education - Business
  • 3 - 4 years experience - Third party billing and reimbursement, insurance carriers, on the job training, accounting.
  • One year of experience may be substituted for one year of education with a maximum substitution of one year. 

Other Information

  • 1 full time vacancy, days.

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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