What are the responsibilities and job description for the Billing Specialist position at Cape Fear Retinal Associates, PC?
Billing Specialist
We are currently seeking an experienced billing specialist to add to our growing practice! Our team works together on open claims, denials as well as clearinghouse edits, authorizations and eligibility.
Job Description
The Billing Specialist will be responsible for ensuring clean claims process through the practice management system, assist patients with their accounts and work together with the other billing staff to ensure our patient accounts are accurate and up to date. It is important that the candidate works well in a team environment and exhibits excellent customer service while working with other staff and patients.
Job Duties include but are not limited to:
· Research and resolve insurance and eligibility issues
· Review charges for clinic and surgery claims
· Answer patient inquiries in person and on the phone
· Resolve internal and clearinghouse claim edits
· Follow up on insurance rejections and denials as well as open AR
· Submit requests for additional information
· Review and resolve patient balances
· Monitor patient payment plans
· Obtain and manage prior authorizations and referrals
· Post payer and patient payments in the practice management system
· Research system issues and submit service tickets
· Respond to phone calls and correspondence in a timely manner
Job Requirements
· High school diploma or GED
· Working knowledge of insurance, CPT and ICD-10
· Organized
· Experience working claim denials, open claims and clearinghouse edits
· Excellent verbal and written communication skills
· Motivated
· Experience as a medical biller or coder
· Experience with EHR
Work Remotely
- No
- Scheduled hours are Monday through Friday, 8 am to 5 pm.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- High school or equivalent (Required)
Ability to Relocate:
- Wilmington, NC 28401: Relocate before starting work (Required)
Work Location: In person