Business Services Insurance Reimbursement Specialist
4 weeks ago
Job Type
Full-time
Description
GENERAL SUMMARY OF DUTIES:
This is not a remote position.
Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to accuracy in health insurance billing and collections of all transactional areas in Piedmont HealthCare patient accounts. The ability to remain focused and accurate under deadline pressure. The Insurance Specialist will retain and provide essential information to resolve any inaccuracies generated in Piedmont HealthCare patient accounts. Overall, committed to the Mission and Vision of Piedmont HealthCare's establishment.
Requirements
REQUIREMENTS:
- Understanding of CMS Compliance regulations.
- Understanding of how to read Explanations of Benefits (EOB's).
- Knowledge of billing and coding terminology including CPT, ICD-10 and HCPCS
- Knowledge of healthcare billing procedures.
- Knowledge of payer policies and understanding this requires continuous reading, and content comprehension.
- Thorough claim follow-up with persistence.
- Ability to communicate professionally verbally and written.
- Extensive experience with claim appeals process
- Knowledge of insurance claims processing.
- Basic understanding of insurance fee schedule.
- Communicate with different insurance companies to gather distinctive information about contractual requirements, coverage, eligibility, prior authorizations, co-pay levels, deductibles, payments, adjustments, etc.
- Thorough understanding of health insurance denials and claim follow up comprised from services rendered per Piedmont HealthCare contracts.
- Communicate with satellite offices to research and configure payment and adjustment activity in patient accounts.
- Willingly assist with all customer service related functions to grow business and create positive patient relations.
High School Diploma required, with some college preferred. Additional specialized health care related training preferred.
EXPERIENCE:
Healthcare experience required
KNOWLEDGE AND SKILL REQUIREMENTS:
- Strong knowledge of the Piedmont HealthCare Compliance Plan including HIPAA regulations and OSHA guidelines/standards.
- Competent in the functionality of our practice management and patient intake system - Athena Group Management, Phreesia and electronic medical records.
- General knowledge of insurance filing, reimbursement, and coding (CPT/ICD 10 specifically).
- Experienced in using Microsoft Office 365 tools (Word, Excel, Outlook).
- Proactive in planning, organizing, and strategizing.
- Excellent communication and writing skills.
- Self-reliant in taking initiative and exercising independent judgment.
- Ability to adapt and deal courteously with internal and external customers in a fast-paced environment.
ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment
PHYSICAL/MENTAL DEMANDS:
Requires prolonged sitting, some bending, stooping and stretching. Requires eye/hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing, speaking voice, and eyesight to prepare and communicate letters and reports. Requires the ability to discuss sensitive matters with patients, staff members and physicians. The position requires the ability to maintain composure when dealing with difficult people and situations.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve
-
Business Services Insurance Reimbursement Specialist
2 months ago
Statesville, United States Piedmont HealthCare Full timeDescription GENERAL SUMMARY OF DUTIES: This is not a remote position. Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to accuracy in health...
-
Statesville, United States Piedmont HealthCare Full timeJob Type Full-time Description GENERAL SUMMARY OF DUTIES: This is not a remote position. Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to...
-
Statesville, United States Piedmont Healthcare PA Full timeJob DescriptionJob DescriptionDescription:GENERAL SUMMARY OF DUTIES:This is not a remote position.Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to...
-
Business Services Insurance Reimbursement Specialist
2 months ago
Statesville, United States Piedmont Healthcare PA Full timeJob DescriptionJob DescriptionDescription:GENERAL SUMMARY OF DUTIES:This is not a remote position.Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to...
-
Statesville, United States Piedmont Healthcare PA Full timeJob DescriptionJob DescriptionDescription:GENERAL SUMMARY OF DUTIES:This is not a remote position.Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to...
-
Billing Specialist
2 weeks ago
Statesville, United States Iredell Memorial Hospital Full timeThe Hospitalist Coder/ Biller is responsible for phases of the successfully submission and collection of hospitalist reimbursement from payors and other parties. This includes: properly registering each patient seen by a hospitalist; accurately revie Billing Specialist, Health, Office, Business, Billing, Specialist, Healthcare
-
REVENUE REIMBURSEMENT SPEC | Full-Time
1 week ago
Statesville, United States Iredell Memorial Hospital Full timeJob Type Full-time Description The Revenue Reimbursement Specialist will be responsible for researching and analyzing accounts to diagnose reasons for under payment or non-payment of claims. Duties include ascertaining trends that emerge during review and help develop strategies to correct and ensure successful reimbursement. Monitor and investigate all...
-
Business Services Representative
2 weeks ago
Statesville, United States Piedmont Healthcare PA Full timeJob DescriptionJob DescriptionDescription:Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to accuracy in health insurance billing and collections of...
-
Business Services Representative
1 week ago
Statesville, United States Piedmont Healthcare PA Full timeJob DescriptionJob DescriptionDescription:Well-versed individual, with the ability to liaison between patients, insurance companies and all of Piedmont HealthCare personnel. Will conduct skillful use of systems, communication, research, assessment and resolution. Professionally perform tasks related to accuracy in health insurance billing and collections of...
-
Insurance Agency Owner
3 weeks ago
Statesville, United States AAA The Auto Club Group Full timeAAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join our team! One of the Industry's BEST Compensation Packages Earning potential is unlimited through a 100% incentive-based compensation structure. Competitive new-business and renewal commission, complemented by bonus programs (see below) which...
-
Insurance Agency Owner
4 weeks ago
Statesville, United States AAA-The Auto Club Group Full timeAAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join our team!One of the Industry's BEST Compensation PackagesEarning potential is unlimited through a 100% incentive-based compensation structure. Competitive new-business and renewal commission, complemented by bonus programs (see below) which...
-
Fulfillment Specialist
2 weeks ago
Statesville, United States Fastenal Full timeJob Description Fulfillment Specialist 1216 W Front St, Statesville, NC 28677 NCSTA Public Store Part-time Shift(s): MON TUE WED THU FRI 7:00am - 5:00pm Up to 28 hours/week OVERVIEW: Embark on your journey as a Part-time Fulfillment Specialist, where you'll take charge of delivering excellence by replenishing inventory solutions and managing our industry...
-
Operating Room Charge Review Specialist PRN
54 minutes ago
Statesville, United States Frye Regional Medical Center Full timeJob Summary The Operating Room Charge Review Specialist is responsible for ensuring accuracy and completeness in the billing process related to operating room procedures and charges. They meticulously review charges, documentation, supplies and implants used, and coding to ensure compliance with regulatory standards and maximize revenue capture for the...
-
Dental Billing Specialist
2 weeks ago
Statesville, United States Kintegra Health Full timeJob DescriptionJob DescriptionJob InformationTitle: Dental Billing Specialist Department: Dental Billing Status: Hourly Position Classification/Category: ClericalLocation: Assigned Dental Clinic Reports To: Dental Business Supervisor Direct Reports: None Summary of Position: At all times, the dental biller should command a professional, friendly, and polite...
-
Customer Service Representative
2 weeks ago
Statesville, United States U-Haul Full timeLocation: 1530 E Broad St, Statesville, North Carolina 28625 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company's...
-
Customer Service Representative
7 days ago
Statesville, United States U-Haul Full timeLocation: 1530 E Broad St, Statesville, North Carolina 28625 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company's...
-
Executive Assistant Business Administrator
2 weeks ago
Statesville, United States Statesville Housing Authority Full timeJob DescriptionJob DescriptionStatesville Housing Authority Job DescriptionPosition Title: Executive Assistant/Business Administrator Job Status: Exempt Reports To: CEOPosition Summary: A business administrator is a professional who oversees the day-to-day operations of an enterprise. They supervise all the administrative duties of an organization,...
-
Executive Assistant Business Administrator
1 week ago
Statesville, United States Statesville Housing Authority Full timeJob DescriptionJob DescriptionStatesville Housing Authority Job DescriptionPosition Title: Executive Assistant/Business Administrator Job Status: Exempt Reports To: CEOPosition Summary: A business administrator is a professional who oversees the day-to-day operations of an enterprise. They supervise all the administrative duties of an organization,...
-
Executive Assistant Business Administrator
4 days ago
Statesville, United States Statesville Housing Authority Full timeJob DescriptionJob DescriptionStatesville Housing Authority Job DescriptionPosition Title: Executive Assistant/Business Administrator Job Status: Exempt Reports To: CEOPosition Summary: A business administrator is a professional who oversees the day-to-day operations of an enterprise. They supervise all the administrative duties of an organization,...
-
residential helper
2 weeks ago
Statesville, United States Republic Services Full timeABOUT THE COMPANY Republic Services, Inc. (NYSE: RSG) is a leader in the environmental services industry. We provide customers with the most complete set of products and services, including recycling, waste, special waste, hazardous waste and field services. Our industry-leading commitments to advance circularity and support decarbonization are helping...