Third Party Biller, CEP Insurance & Billing

CarolinaEast Health System; New Bern (NC); On-site; USD 36,000 - 56,000; Full time

Job summary

CarolinaEast Health System is seeking a detail-oriented medical office professional to review, follow up, and collect third party insurance claims in New Bern, NC. The role supports a high-volume billing workflow and requires proficiency with CPT-4 and HCPCS coding, as well as strong customer service skills to uphold standards of excellence.

The position emphasizes accurate claim submission, denial management, and collaboration with payer systems to ensure timely reimbursement.

Qualifications

• High school diploma or equivalent.
• Minimum of three years of medical office experience.
• Understanding of the 1500 Physician billing form and related claims.
• Knowledge of CPT-4 and HCPCS coding and modifier usage.
• Familiarity with eligibility, coverage and benefits for government programs.
• Experience with PC applications, Windows and Word.
• Deliver outstanding customer service that meets CarolinaEast's Standards of Excellence.

Responsibilities

• Review, follow-up and collect third party insurance claims.

Skills

Medical billing

Customer service

Attention to detail

Education

High school diploma or equivalent

Tools

CPT-4 knowledge

HCPCS knowledge

Windows OS

Microsoft Word

Job description

Job Summary:

Performs all duties necessary in the review, follow-up and collection of third party insurance claims.

About CarolinaEast Health System

CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America's Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

CarolinaEast Physicians is made up of over 150 physicians, and mid-level providers who provide care to patients spanning four eastern North Carolina Counties. We have specialties including Primary Care, Pediatrics, Rheumatology, Cardiology, Pulmonology, Neurology, Podiatry, Endocrinology, Cardiovascular Surgery, Otolaryngology, General Surgery, Oncology, Urology, Physical Medicine and Rehab, Orthopedics, Psychiatry, and Gastroenterology.

Minimum Requirement

• High school graduate or equivalent.
• Minimum of three years of medical office experience.
• Must have complete understanding of the 1500 Physician billing form relative to the preparation, coding and interpretation of information in billing claims.
• Must be knowledgeable of the use of CPT-4 and HCPCS coding and modifier usage.
• Must be knowledgeable of guidelines and requirements for eligibility, coverage and benefits and claim submission practices for all government programs (Medicare, Medicaid, VA and Tricare/Champus).
• Must know basic billing specifications.
• Requires experience working with PC's, printers and be able to maneuver between several PC applications.
• Must be knowledgeable of Windows and Microsoft Word.
• Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.