Physician Billing & Denials Specialist

capefearvalley; United States; On-site; USD 42,000 - 60,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC, seeks an Accounts Receivable Specialist to handle all aspects of professional claims, denial management, and follow-up on unpaid claims within the Physician Financial Services department.

You will coordinate with practices and hospital departments, research issues, and correct problems to ensure accurate claim resolution and timely reimbursement, while delivering strong customer service.

Qualifications

• High school graduate or equivalent required.
• 1 year of physician billing or related revenue cycle experience required.
• Proficiency in reading, writing, and speaking English.
• Knowledge of medical billing and insurance reimbursement practices.
• Typing speed of 45 words per minute.
• Strong communication and customer service skills.
• Familiarity with ICD-9 and CPT-4 coding.

Responsibilities

• Follow up on outstanding AR by analyzing denials and unpaid claims with payers.
• Research issues contributing to unpaid claims and ensure timely payment.
• Coordinate with practices/hospital departments to answer claim questions.
• Process claims in revenue cycle system; check eligibility and corrections.
• Complete Payment Tracking and refund forms as needed.
• Notify management of reimbursement challenges and trends.
• Other duties as assigned.

Skills

English proficiency

Customer service

Communication skills

Teamwork

Typing 45 wpm

Microsoft Office

Medical terminology

ICD-9 CPT-4 coding

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Cape Fear Valley Medical Center in Fayetteville, NC, seeks an Accounts Receivable Specialist to handle all aspects of professional claims, denial management, and follow-up on unpaid claims within the Physician Financial Services department.

You will coordinate with practices and hospital departments, research issues, and correct problems to ensure accurate claim resolution and timely reimbursement, while delivering strong customer service.