Physician Billing Specialist-Full Time-Days

Facility

CFV Gastro VG West - Building

Location

Fayetteville, North Carolina

Department

CFV Gastroenterology Valleygate West

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Ensure complete continuity of accuracy, productivity, and efficiency in the flow of insurance and billing processing.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Ensure a highly productive, efficient, and accurate process flow of customer accounts through billing

Monitors insurance denials through rejection reports, research, processing and follow-up

Assist in monitoring correct coding and charge entry processes

Coordinates and monitors all insurance processing

Troubleshoots software/hardware problems that arise in claims production and nonpayment by carriers when related to claims processing

Ensures compliance with Federal regulations for maximum reimbursement

Process claims, edit, corrects errors and transmits to third party payers, intermediaries and/or clearing house for payment

Post all insurance and patient payments and adjustments

Review next day schedule for insurance accuracy, patient balances and eligibility

Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training :

High school diploma or equivalent required

Certified Coder in Medical or Professional Coding preferred

Work Experience :

3 years of experience in physician office insurance or billing preferred

Knowledge, Skills, and Abilities Required :

Proficiency in reading, writing, and speaking the English language

Good data entry skills

Familiarity with medical record content and understanding of ICD-CM/CPT4 coding principals

Ability to assign accurate codes using good judgement within broad guidelines

Flexible and capable of intense concentration in a busy, noisy and crowded environment

Physical Requirements :

Near visual acuity

Motor coordination to operate computer

Most work is sedentary

Required Licenses and Certifications

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