Healthcare Billing Specialist

3 days ago

Raleigh, North Carolina, United States North American Partners In Anesthesia Full time

Raleigh,NC - USA - North American Partners in Anesthesia is seeking a skilled Healthcare Billing Specialist to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring timely and accurate reimbursement for our patients.

Job Summary:

The Healthcare Billing Specialist will be responsible for coordinating and managing the follow-up on unpaid claims, ensuring timely processing of billing errors and corrections, and communicating effectively with internal and external resources to achieve desired results.

Key Responsibilities:

• Coordinate and manage the follow-up on unpaid claims, ensuring timely communication with payers and patients.

• Identify, research, and ensure timely processing of billing errors and corrections, actively participating in problem identification and resolution.

• Communicate effectively with internal and external resources, including patients, providers, and payers, to achieve desired results and resolve issues.

• Review and work all daily correspondence, appealing denied claims via mail, telephone, or websites, and performing audits on accounts to review for accuracy.

• Update accounts with information obtained through correspondence and telephone, contacting patients, referring providers, or hospitals to obtain better insurance information, authorization, or updated patient demographics to assist with collections.

• Complete appropriate account maintenance, ensuring accurate documentation of all follow-up on the account to ensure there is an accurate record of the steps taken to collect on an account.

Requirements:

To be successful in this role, you will need:

• 3 to 5 years of experience in healthcare claims reimbursement and denial resolution.

• Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines.

• Strong computer skills, including MS Word and Excel, and the ability to maintain accuracy while working on multiple tasks in a fast-paced environment.

• Excellent verbal and written communication skills, including professional telephone etiquette, and the ability to ensure confidentiality of sensitive information and maintain HIPAA compliance.

What We Offer:

• Competitive salary of $24.90 per hour.

• Generous benefits package, including paid time off, health, life, vision, dental, disability, and AD&D insurance, flexible spending accounts/health savings accounts, and 401(k) retirement savings plan.

• Leadership and professional development opportunities.

Preferred Locations:

We prefer candidates to be based in one of the following locations: Melville, NY; Raleigh, NC; Syracuse, NY; Fairfax, VA; or Sunrise, FL.

EEO Statement:

North American Partners in Anesthesia is an equal opportunity employer, and we are committed to providing a work environment that is free from discrimination and harassment.

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