Microsoft Specialist

3 weeks ago


Charlotte NC, United States Metrolina Nephrology Associates Full time

4 weeks (accrued) paid time off PLUS 7 additional paid holidays Our extensive network of providers and offices allow our practice to deliver care in an atmosphere that is personal, patient centered, and compassionate.
It is our mission to provide the most comprehensive nephrology services available with a personal commitment to enhance our patients’ quality of life through professional activity and dedication.
By providing service excellence through highly specialized physicians and staff, we commit to serving the individual needs and circumstances of patients.
A non-exempt position responsible for claims follow up and collections on accounts. Responsible for overseeing metrics by payer to include but not limited to work Navicure rejections, claims follow up and denial follow up.
Researches and reviewed unpaid claims
Understands how to bill a claim to Navicure as well as correct front end edits on Navicure
Requests coding changes
Understands the contracted timely filing limits for claims based on carrier plan for all payers that CEMM contracts.
Informs billing office staff of changes based on payer information received.
Bills all insurance claims and statements
Refiles accounts that may not have crossed over to the clearinghouse (Navicure)
Answers patient billing calls and provides a status to the patients within 24 hours
Researches account to provide the best possible outcome for the patient and CEMM.
Works with insurance companies to provide missing documentation to ensure payment of claims.
Maintains excellent rapport with insurance companies and representatives to assist with claims processing
Understands how to read and interpret explanation of benefits, provides excellent customer service, accounts receivable follow up, obtains insurance authorizations, appeals denied claims.
Past work with a claims clearinghouse is a plus.
Medical billing certificates a plus, 2-3 years of insurance reimb experience a plus, experience with claim rejection and denials a plus.
Must have a high school diploma or equivalent, have a basic understanding of medical terminology and insurance billing, 5 years’ experience in a business office setting.
Accounts Receivable follow up, obtaining authorizations, appealing denied claims %4574221% %%admin%%



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