Professional Billing Specialist - Greenville, NC

Job Description

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

Progressively responsible for  revenue cycle functions related to government, managed care, commercial, third party, grant funds, and other payers for a multispecialty physician organization.

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
• 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
• Addresses all billing and insurance questions that are encountered

Minimum Requirements

• Associate Degree in Accounting , Business or related required 

• 3-5 years experience in medical billing office, agency or third party pay, or 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.