Physician Billing Specialist-Full Time-Days

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 42,000 - 56,000; Full time

Job summary

Cape Fear Valley Health is seeking a Physician Billing Specialist to handle all aspects of accounts receivable for professional claims, including denial management and follow-up on unpaid claims. This full-time daytime role sits in Fayetteville, NC within the Physician Financial Services department and requires skilled billing, coding knowledge, and strong attention to detail.

The position emphasizes accuracy, communication with payers, and collaboration with hospital departments to resolve

Qualifications

• High school graduate or equivalent required.
• 1-year experience in physician billing, medical practice charge entry or coding and/or hospital revenue cycle process and practices.
• Proficiency in reading, writing, and speaking English.
• Knowledge of medical billing and insurance reimbursement practices and procedures and medical insurance requirements.
• Excellent communication and teamwork.
• Computer skills including Microsoft Office.
• Knowledge of medical terminology, ICD-9 and CPT-4 coding.
• Ability to type accurately 45 words per minute.

Responsibilities

• Follow up on outstanding A/R by working and analyzing denials, following up on unpaid claims with payers and researching issues that have contributed to unpaid claims.
• Ensure accurate claim processing by following up with payers as needed using payer websites and phone calls to ensure timely payment.
• Work in revenue cycle system to process claims, check eligibility and make corrections to ensure customers and payers receive accurate and timely claim resolution.
• Coordinate and communicate with practices/hospital departments as needed to answer claim related questions and process claims accordingly.
• Research and make necessary corrections to insurance company requests through timely follow-up and correspondence.
• Complete Payment Tracking Forms when monies have been sent to the hospital.
• Complete refund forms for monies due to an insurance company or a patient due to an overpayment.
• Keeps management team abreast of challenges with reimbursement or claim related trends.

Skills

English proficiency

Communication skills

Teamwork

Typing 45 wpm

Medical billing

ICD-9/CPT-4 coding

Microsoft Office

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

## Physician Billing Specialist-Full Time-DaysApply: CFV: Full time: Posted Today: 40754**Facility**Cape Fear Valley Medical Center**Location**Fayetteville, North Carolina**Department**Physician Financial Services**Job Family**Clerical**Work Shift**Days (United States of America)**Summary**Handle all aspects of Accounts Receivable for professional claims including denial management, analysis of denials, follow up on unpaid claims and identify barriers to reimbursement.# **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:* Follow up on outstanding A/R by working and analyzing denials, following up on unpaid claims (primary, secondary or tertiary) with payers and researching issues that have contributed to unpaid claims* Ensure accurate claim processing by following up with payers as needed using payer websites and phone calls to ensure timely payment* Work in revenue cycle system to process claims, check eligibility and make corrections to ensure customers and payers receive accurate and timely claim resolution* Coordinate and communicate with practices/hospital departments as needed to answer claim related questions and process claims accordingly* Research and make necessary corrections to insurance company requests through timely follow-up and correspondence (i.e medical record requests, appeals, claims resubmissions)* Complete Payment Tracking Forms when monies have been sent to the hospital* Complete refund forms for monies due to an insurance company or a patient due to an overpayment* Keeps management team abreast of challenges with reimbursement or claim related trends* 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 graduate or equivalent required## **Work Experience**:* 1-year experience in physician billing, medical practice charge entry or coding and/or hospital revenue cycle process and practices required## **Knowledge, Skills, and Abilities Required**:* Proficiency in reading, writing, and speaking the English language* Knowledge of medical billing and insurance reimbursement practices and procedures and medical insurance requirements* Communication skills* Excellent customer service and teamwork* Computer skills including Microsoft suite* Knowledge of medical terminology, ICD-9 and CPT-4 coding* Ability to type accurately 45 words per minute## **Physical Requirements**:* Motor coordination and finger dexterity required to operate the calculator, computer keyboard and typewriter* Light lifting and carrying may be required* Reaching for and handling light weight files**Required Licenses and Certifications**