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Business Office Specialist

2 months ago

Eden, North Carolina, United States UNC Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Business Office Specialist to join our team at UNC Health. As a Business Office Specialist, you will play a critical role in ensuring the timely and accurate processing of claims and data submissions to third-party payers, insurance carriers, and government agencies.

Key Responsibilities
  • Conduct thorough reviews and verifications of claims and data submissions to ensure accuracy and compliance with regulatory requirements.
  • Initiate appeals and resolve denials to improve cash flow and minimize revenue loss.
  • Monitor and analyze third-party payer payments, explanations of benefits, and other correspondence to identify and address any discrepancies or issues.
  • Collaborate with patients, third-party payer organizations, and internal staff to resolve inquiries, questions, or concerns in a timely and effective manner.
  • Stay up-to-date with federal and state claim processing regulations, third-party payer contracts, and payment rates to ensure accurate and compliant claims processing.
  • Document all claims processing, follow-up, collection, account inquiry resolution, and reconciliation actions taken in accordance with departmental and hospital procedures.
  • Attend daily administrative meetings and update daily census in the Achieve billing system, including registering patients and updating the ADT report.
  • Enter new patients into the system, generate new face sheets for all new admits, and post charges and payments to the Achieve billing system.
  • Process AP invoices, review and code to correct accounts for AP, and prepare daily deposits.
  • Balance petty cash boxes, assist with reconciliation of Resident Trust and Resident Council accounts, and provide frontline customer support to families with billing questions.
Requirements
  • Associate's degree (A.A.) or equivalent from a two-year college or technical school.
  • Six months to one year related experience and/or training; or equivalent combination of education and experience.
  • High School diploma or GED: 5 years experience.
  • Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
  • Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
  • Computer Skills: Ability to use medical claims processing software, working knowledge of Word, Excel, Achieve Pathlinks, and Microsoft Exchange.
  • Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Work Environment

This position is employed by UNC Health, a private, fully-owned subsidiary of UNC Health Care System. This is not a State employed position.

UNC Health is an equal opportunity employer and welcomes applications from diverse candidates. We make reasonable accommodations for applicants and employees with disabilities and religious practices and beliefs.