Billing Coordinator - Full Time-Days

Cape Fear Valley Health System; Fayetteville (AR); On-site; USD 32,000 - 42,000; Full time

Job summary

Cape Fear Valley Health System is seeking a Clerical/Medical Billing professional for the CFV Fayetteville Orthopedics & Sports Medicine department in Fayetteville, NC. The role focuses on insurance processing, billing workflow, and denials management within a busy orthopedic practice.

Qualifications include a high school diploma and preferably medical coding certification, with about 3 years of physician office billing experience.

Qualifications

• High school diploma or equivalent required.
• Certified Coder in Medical or Professional Coding preferred.
• 3 years of experience in physician office insurance or billing preferred.

Responsibilities

• Ensure highly productive, accurate billing process flow.
• Monitor insurance denials via rejection reports, research, and follow-up.
• Assist in monitoring correct coding and charge entry processes.
• Coordinate and monitor all insurance processing.
• Troubleshoot software/hardware issues related to claims processing.
• Process claims, edit errors, and transmit to third party payers or clearing houses.
• Post all insurance and patient payments and adjustments.
• Review next day schedule for insurance accuracy and patient balances.

Skills

Data entry

Medical billing

Insurance processing

Education

High school diploma

Medical coder certification (preferred)

Job description

Facility CFV Fayetteville Orthopedics & Sports Medicine

Location Fayetteville, North Carolina

Department CFV Fayetteville Orthopedics & Sports Medicine

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

For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time. Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.