Medical Billing and Coding Specialist

For more than 45 years as a multi-specialty, privately-owned practice, Raleigh Medical Group has realized that there is more to quality health care than state-of-the-art medicine. In today’s complex medical environment, our internists like to keep things simple: we focus and prioritize our patients' needs. We tailor our treatments to provide patients with the finest personalized health care available for each stage of their adult life.

We understand that when our team members are taken care of, so are our patients. Each day we strive to support our team, give them the resources needed to grow, and create an enjoyable work environment. Our organization continues to grow, and so does our team! We have opportunities for Medical Billing/Patient Account Representatives positions to join our group. These positions are full-time Monday through Friday working in person at our Raleigh, NC office. This is not a remote job.

We Offer Our Valued Employees:

• Group Health, Dental, and Vision
• FSA and HSA options
• Generous Paid Time Off (PTO)
• 401(k) Retirement Plan with matching
• Company provided Short-Term and Long-Term Disability
• Company provided Life Insurance
• Competitive Salaries
• Annual Employee Appreciation Events

The Medical Billing/Patient Account and Customer Service Specialist is responsible for reviewing all patient correspondence, returning patient phone calls, and meeting with patients in a professional and timely manner. Performs functions critical to managing self pay, insurance, and divisional credit balance accounts per departmental and company policy.

On an average day, the Medical Billing/Patient Account and Customer Service Specialist will:

• Follow-up on aging insurance claims and file secondary/tertiary claims.
• Handle patient correspondence, phone calls, and walk-ins in a professional and courteous manner.
• Review and appeal claim denials as needed.
• Troubleshoot failed claims in Allscripts PM and Payerpath
• Review credit balance accounts for possible overpayments or erroneous adjustments as needed. Transfer patient credits to open vouchers prior to processing patient refund requests in a timely and accurate manner.
• Work with billing and posting staff to expedite re-files, refunds, or other payment related issues.
• Process adjustments / write offs per department policy and provide supporting documentation
• Performs back up duties with charge entry such as office visits, pathology, infusion, nutrition, and facility procedures.
• Reconciles the missing ticket report and forwards charge data to the appropriate representative to process.
• Ensure that patient demographic and insurance information is updated in timely manner.
• Maintain strictest confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Maintain the security of protected health information (PHI); including what PHI access is allowed and the reason for access to PHI.
• Communicate with physicians to convey proper coding and billing policies.

To qualify for the Medical Billing/Patient Account and Customer Service Specialist, you must have:

• High school diploma or equivalent.
• Three years of experience in physician billing/insurance follow up or one year of AR-related experience in healthcare organization.
• CPC certification a PLUS.
• Data entry skills.
• Billing practices and clinic policies and procedures.
• Medical terminology, CPT, HCPCs, and ICD codes.
• Customer service concepts and techniques.
• Use of office equipment including phone, scanner, computer, fax machine and copier.
• Time management, problem solving, multitasking, organizing, and prioritizing.
• Understanding and following written and oral instruction.
• Auditing outstanding accounts and provide accurate resolution
• Communicating effectively both verbally and in writing with patients and other individuals inside and outside the practice.
• Maintaining confidentiality of sensitive information.
• Working independently in a timely, accurate, and thorough manner.
• Exhibiting a professional manner in dealing with others and working to maintain constructive working relationships.

The Medical Billing/Patient Account Representative is responsible for reviewing all patient correspondence, returning patient phone calls, in a professional and timely manner. Performs functions critical to managing self pay, insurance, and divisional credit balance accounts per departmental and company policy.

On an average day, the Medical Billing/Patient Account Rep will:

• Handle all patient correspondence and phone calls in a courteous manner. All phone calls must be returned in 48 hours.
• Set patients up on an acceptable payment plans.
• Review credit balance accounts for possible overpayments or erroneous adjustments on daily basis. Transferring patient credits to open vouchers prior to processing patient refund requests in a timely and accurate manner.
• Process all patient and insurance refunds in a timely manner.
• Critical thinking/research claim issues and file appeals as needed.
• Process adjustments / write offs per department policy and provide supporting documentation with the appropriate notes.
• Maintains strict confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Maintain the security of protected health information (PHI); including what PHI access is allowed and the reason for access to PHI.

To qualify for the Medical Billing/Patient Account Rep, you must have:

• High school diploma or equivalent.
• CPC certification a PLUS.
• 5 years experience in physician billing/insurance follow up.
• Proficient with ICD 10, CPT.
• Excellent communication skills (written and verbal).
• Data entry skills.
• Experience with All scripts PM/EHR and MS Excel are preferred.

Apply on our website at www.raleighmedicalgroup.com.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• What is your desired salary?

Experience:

• ICD-10/CPT: 1 year (Required)
• Medical Billing and Coding: 3 years (Required)

Work Location: In person