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Insurance Analyst

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Job ID: 953691
Facility: Vidant Health
Location: Greenville, NC
FT/PT: Full-Time
Reg/Temp: Regular
Date Posted: Nov 24, 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

  • 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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