Progressively responsible for revenue cycle functions related to government, managed care, commercial, third party, grant funds, and other payers for a multispecialty physician organization.
1. Review and make all necessary corrections to claims that do not pass the billng edits.
a.Process all claims through clearinghouse software and correct errors and rejections to insure claims reach third party payers correctly and efficiently.
b.Update billing and clearinghouse, as needed, to insure claim and processing information is complete and correct.
c.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.
a.Post all payments, adjustments, and denials daily.
b.Maintain reconciliation spreadsheets daily.
c.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.
a.Aggressively perform follow-up duties on all third party claims on a timely basis.
b.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.
a.Use report information to perform claim reconciliation and A/R management in an efficient and targeted manner.
b.Generate and maintain scheduled reports as instructed.
c.Documents all billing and collection activities in a standard format.
5.Performs other related responsibilities as requested or required.
a.Participates in CQI activities.
b.Demostrates Service Excellence
c.Addresses all billing and insurance questions that are encountered.
Minimum Position Requirements
Associate college degree in Accounting , Business or related required. 3-5 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.
1 full - time vacancy.
1 full - time vacanct1
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.
Vidant Health is an Equal Opportunity Employer. EOE/AA Applications for Vidant Health and its subsidiary corporate entities are accepted and employees are chosen for employment without regard to race, color, gender, religion, age, national origin, marital status, citizenship, veteran status, or disability.
Vidant Medical Center - 7 months ago