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Supervisor - Follow-up Insurance

Job ID: 949522
Facility: Vidant Health
Location: Greenville, NC
FT/PT: Full-Time
Reg/Temp: Regular
Date Posted: Apr 5, 2021

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Job Description

Vidant Health

About Vidant Medical Center

Vidant Medical Center is a 900+ bed Level-1 Trauma Center, regional referral hospital and is the flagship hospital for Vidant Health. We serve as the teaching hospital for the Brody School of Medicine at East Carolina University. Vidant Medical Center provides acute, intermediate, rehabilitation and outpatient services to more than 1.4 million people in 29 counties. But it's in our work environment that you'll find our sense of family and closeness that permeates everything we do.

Position Summary

  • Coordinates and directs the daily activities of the Insurance Representatives responsible for follow-up on billed claims for Vidant Health hospitals and SSOP
  • Determines professional learning needs of staff and identifies short/long-term goals relevant to position
  • Reviews and evaluates daily ATB's, workstations and ADHOC reports to ensure adequate and timely follow up is performed and the workload is equally distributed
  • Reviews and approves contractual, administrative and legally unbillable adjustments in accordance with the policy
  • 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 Vidant Health hospital and SSOP.  Liaison for Managed Care reimbursement resolution
  • Responsible for hiring, training, scheduling, performance evaluations and time and attendance
  • Stays current on the federal, state & local government regulations and the affects on claim filing
  • Performs other related responsibilities as required or requested

Minimum Requirements

  • High school required with 2 additional years formal education
  • 4 years experience - Third party billing and reimbursement, insurance carriers, on the job training, accounting, or related can be substituted for additional education preferred
  • Experience in a leadership, supervisor role preferred

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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