Patient Account Specialist: Claims & Billing Expert

Cape Fear Valley Health; Fayetteville (NC); Sur place; USD 38 000 - 52 000; Plein temps

Résumé du poste

Cape Fear Valley Health is seeking a patient accounts professional to manage end-to-end billing with third party carriers. You will bill claims electronically or on paper, supply information necessary for adjudication, and respond to questions from patients and insurers.

Based in Fayetteville, NC, this role supports the Patient Financial Services Operations team, handling claims submission, eligibility checks, and follow-up to maximize accurate balances and customer service.

Qualifications

• High school diploma or equivalent required.
• 2 years’ experience with electronic hospital billing or collections in a medical field required.
• 1 year of experience with personal computer software and other office equipment required.
• 1 year of medical terminology and familiarity with CPT-codes, ICD-10 codes and HCPCS codes preferred.

Responsabilités

• Submits primary insurance claims to all carriers using the electronic claims terminal or send hard copy claims.
• Uses the on-line work list and account referrals to review accounts that are pending payment from insurance companies for additional information.
• Validates the accuracy of patient information so that future billing and follow-up activities are conducted effectively and to ensure a high degree of customer service.
• Applies adjustments and write-offs to accounts according to policy and procedure to assure accurate account balances and statements.
• Maintains a suspense file of accounts that need additional documentation for eligibility determination prior to billing.
• Receives incoming calls from patients and/or insurance companies concerning open accounts and answers questions and provides information in a courteous and cooperative manner to maintain good customer relations.

Connaissances

Strong communication

Analytical ability

Customer service

English proficiency

Formation

High school diploma or equivalent

Outils

PC software

Description du poste

Cape Fear Valley Health is seeking a patient accounts professional to manage end-to-end billing with third party carriers. You will bill claims electronically or on paper, supply information necessary for adjudication, and respond to questions from patients and insurers.

Based in Fayetteville, NC, this role supports the Patient Financial Services Operations team, handling claims submission, eligibility checks, and follow-up to maximize accurate balances and customer service.