Remote Hospital & Physician Billing Specialist

ECU Health; Greenville (NC); À distance; USD 24 000 - 35 000; Plein temps

Avantages offerts par ce poste

Remote role based out of Greenville,NC

Great Benefits

Résumé du poste

ECU Health is seeking a Billing Specialist to manage pre- and post-billing edits and generate claims for hospital and physician services. You will coordinate with payers, care teams, and revenue cycle staff to ensure timely submission and reduced denials.

Role requires a high school diploma, 4 years of electronic billing experience, and knowledge of HCPCS/CPT-4/ICD-10. Epic experience is a plus. Remote role based out of Greenville, NC with competitive benefits.

Qualifications

• High School Diploma or equivalent.
• 4 years electronic billing and/or billing editing experience in a hospital and/or physician office setting.
• Working knowledge of HCPCS, CPT-4 and ICD-10 coding and medical terminology.
• Familiar with multiple payer requirements and regulations for claims processing.
• Epic experience a plus.

Responsabilités

• Responsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers.
• Bill all services within timely filing as defined by departmental goals and insurance guidelines.
• Handle all billing related denials to identify trends to improve clean claim rates.
• Produce multiple daily reporting of billing indicators through various reporting tools.
• Bills hardcopy claims attaching any needed documentation for payment.
• Pulls EOBs and Medical Records as needed attaching to claims and mailing.
• Contact patients and insurance, or third parties for insurance information or additional billing data.
• Perform rebill projects and additional daily reports.
• Understand and comply with rules regarding edits.
• Possess working knowledge of UB04 and CMS 1500 data elements/field data.
• Adhere to state and federal regulations and system policies regarding compliance and ethical billing practices.
• Complete appropriate reports or workqueues and escalate issues with payers when needed.

Description du poste

ECU Health is seeking a Billing Specialist to manage pre- and post-billing edits and generate claims for hospital and physician services. You will coordinate with payers, care teams, and revenue cycle staff to ensure timely submission and reduced denials.

Role requires a high school diploma, 4 years of electronic billing experience, and knowledge of HCPCS/CPT-4/ICD-10. Epic experience is a plus. Remote role based out of Greenville, NC with competitive benefits.