Handle all aspects of accounts receivable for professional claims, including denial management, analysis of denials, follow-up on unpaid claims, and identification of barriers to reimbursement.
Key Responsibilities
- Follow up on outstanding A/R by working and analyzing denials and unpaid claims with payers
- Use payer websites and phone calls to ensure timely payment and accurate claim processing
- Work in the revenue cycle system to process claims, check eligibility, and make corrections
- Coordinate with practices and hospital departments to answer claim-related questions
- Research and complete corrections for insurance company requests, including medical record requests, appeals, and claim resubmissions
- Complete payment tracking and refund forms as needed
- Keep management informed of reimbursement challenges and claim-related trends
Requirements & Qualifications
Required Qualifications
- High school diploma or equivalent
- 1 year of experience in physician billing, medical practice charge entry or coding, and/or hospital revenue cycle processes
- Strong English reading, writing, and speaking skills
- Knowledge of medical billing, insurance reimbursement practices, and medical insurance requirements
- Good communication, customer service, and teamwork skills
- Computer proficiency, including Microsoft Office
- Knowledge of medical terminology, ICD-9, and CPT-4 coding
- Ability to type accurately at 45 words per minute
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago