Physician Billing Specialist

Physician Billing Specialist – Full Time – Days

Summary
:
Handle all aspects of Accounts Receivable for professional claims including denial management, analysis of denials, follow up on unpaid claims and identify barriers to reimbursement.

• Follow up on outstanding A/R by working and analyzing denials, following up on unpaid claims (primary, secondary or tertiary) with payers and researching issues that have contributed to unpaid claims.
• Ensure accurate claim processing by following up with payers as needed using payer websites and phone calls to ensure timely payment.
• Work in revenue cycle system to process claims, check eligibility and make corrections to ensure customers and payers receive accurate and timely claim resolution.
• Coordinate and communicate with practices/hospital departments as needed to answer claim related questions and process claims accordingly.
• Research and make necessary corrections to insurance company requests through timely follow-up and correspondence (i.e. medical record requests, appeals, claims resubmissions).
• Complete Payment Tracking Forms when monies have been sent to the hospital.
• Complete refund forms for monies due to an insurance company or a patient due to an over payment.
• Keep management team abreast of challenges with reimbursement or claim related trends.
• Other duties as assigned.

• High school graduate or equivalent required.

• 1‑year experience in physician billing, medical practice charge entry or coding and/or hospital revenue cycle process and practices required.

• Knowledge of medical billing and insurance reimbursement practices and procedures and medical insurance requirements.
• Communication skills.
• Excellent customer service and teamwork.
• Computer skills including Microsoft suite.
• Knowledge of medical terminology, ICD‑9 and CPT‑4 coding.
• Ability to type accurately 45 words per minute.

• Motor coordination and finger dexterity required to operate the calculator, computer keyboard and typewriter.
• Light lifting and carrying may be required.
• Reaching for and handling light weight files.

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity.