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Billing specialist • durham nc

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Revenue Cycle Representative - Physician Insurance Billing and Follow-Up

Revenue Cycle Representative - Physician Insurance Billing and Follow-Up

UNC Health CareChapel Hill, NC, USA
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Revenue Cycle Representative - Physician Insurance Billing and Follow-Up at UNC Health Care summary : .The Revenue Cycle Representative is responsible for managing the billing process associated with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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HIM SPECIALIST

HIM SPECIALIST

Duke Clinical Research InstituteDurham, NC, United States
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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Insurance Specialist

Insurance Specialist

eTeamChapel Hill, NC, US
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Insurance Specialist Chapel Hills, NC.This Insurance Specialist position offers both dental and medical insurance services for the UNC Adams School of Dentistry. The Insurance Specialist works in al...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Physician Practice Billing and Coding Manager

Physician Practice Billing and Coding Manager

EmergeOrthoDURHAM, NC, US
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Join EmergeOrtho as a Coding Manager (Physician Practice) - Work from Home!.EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care.Wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Account Specialist

Account Specialist

CintasDurham, NC, US
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Cintas is seeking an Account Specialist to provide customer service to both our internal partners and our external customers through various activities. Duties include, but are not limited to, answe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Sales Specialist

Sales Specialist

Home Depot (Retail)Durham, NC, US
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Sales Specialists help customers bring their project ideas to life by offering a range of product options, providing samples, and recommending solutionsincluding installation and related services.S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Environmental Specialist

Environmental Specialist

UNC-Chapel HillChapel Hill, North Carolina, USA
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This position serves as the Stormwater Specialist for the Universitys environmental inspection permitting and regulatory compliance programs. The stormwater specialist works independently to identif...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Process Specialist

Process Specialist

StaffingDurham, NC, US
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Location Seattle, WA Remote, Must Be Willing To Work Pst.Duration 6 Months + Job Description : Process Specialist And Documentation Expert. This Role Requires Close Coordination With Client Stakeh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Billing Assistant

Billing Assistant

Associated Scaffolding CompanyDurham, NC, US
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Provide administrative help to the.Essential Duties & Responsibilities.Provide administrative support to sales department. Responsible for job set up & distribution of RC's.Invoice jobs ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Maintenance Specialist

Maintenance Specialist

City of Durham, NCDurham, NC, United States
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With the City of Durham Advance in your career while making a real difference in the community you serve.The General Services Department's innovative, highly qualified, service-oriented individuals...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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GSOC Specialist

GSOC Specialist

The Pokmon Company InternationalDurham, NC, US
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The Pokmon Company International, a subsidiary of The Pokmon Company in Japan, manages the property outside of Asia and is responsible for brand management, licensing, marketing, the Pokmon Trading...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Community Specialist

Community Specialist

Monarch ServicesDurham, NC, United States
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Make a Difference in Someone's Life!.At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Billing Manager

Billing Manager

Nomad InternetDurham, NC, US
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Nomad Internet Billing Operations Manager.Billing Operations Management : Oversee all billing operations, including invoice generation, account reconciliation, and payment processing.Ensure billing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Merchandiser Specialist

Merchandiser Specialist

Premium Retail ServicesDurham, NC, US
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Bring Brands to Life and Build Your Career.Join Premium Retail Services as a Merchandising Specialist, where you'll bring top brands to life in stores across your community.You'll represent hundred...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Billing Assistant

Billing Assistant

Associated ScaffoldingDurham, NC, United States
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Provide administrative help to the office / administrative manager, branch manager, salesmen and provide support to counter sales when needed. Essential Duties & Responsibilities.Provide administrativ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Supervisor, Government Billing Insurance Follow-Up

Supervisor, Government Billing Insurance Follow-Up

Gundersen Health SystemDurham, NC, US
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Emplify Health by Gundersen seeking an experienced Supervisor of Government Billing.Medicare, Medicaid, and Behavioral Health billing. This role oversees daily operations, ensuring accuracy, complia...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Member Specialist

Member Specialist

WalmartDurham, NC, United States
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Ensures area of responsibility is maintained in accordance with Company policies and procedures by properly handling returns. zoning the area; arranging and organizing merchandise; and identifying ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Billing and Coding - Entry Level Training Program

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Durham, North Carolina
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This is an educational program, not a job offer.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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COMPLIANCE SPECIALIST

COMPLIANCE SPECIALIST

Duke UniversityDurham, NC, US
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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and disc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Revenue Cycle Representative - Physician Insurance Billing and Follow-Up

Revenue Cycle Representative - Physician Insurance Billing and Follow-Up

UNC Health CareChapel Hill, NC, USA
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Revenue Cycle Representative - Physician Insurance Billing and Follow-Up at UNC Health Care summary :

The Revenue Cycle Representative is responsible for managing the billing process associated with physician insurance, particularly focusing on follow-ups for outstanding claims and resolving denials. This role requires collaboration with various departments to ensure accurate payments and timely submission of claims appeals, as well as maintaining accounts receivable at acceptable levels. The representative needs to possess knowledge of health insurance policies and documentation practices in a fast-paced healthcare environment.

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary :

  • Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and / or claim denials.
  • Works physician claims ("professional billing").
  • Maintains A / R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims.
  • Performs all duties in a manner which promotes teamwork and reflects UNC Health Care’s mission and philosophy.

Job Responsibilities :

  • Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, other methods.
  • Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
  • Submit requested medical information to insurance carrier.
  • Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
  • Access, review and respond to third party correspondence.
  • Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims.
  • Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
  • Verify claims adjudication utilizing appropriate resources and applications.
  • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
  • Respond to any assigned correspondence in a timely, professional, and complete manner.
  • Identify issues and / or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
  • May maintain data tables for systems that support PB Claims operations.
  • Evaluate carrier and departmental information and determines data to be included in system tables.
  • Read and interpret EOB’s (Explanation of Benefits).
  • Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
  • Accurately and thoroughly document the pertinent collection activity performed.
  • Participate and attend meetings, training seminars and in-services to develop job knowledge.
  • Meet / Exceed Productivity and Quality standards.
  • Other Information

    Education Requirements :

  • High School Degree
  • Professional Experience Requirements :

  • Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
  • Job Details

    Legal Employer : NCHEALTH

    Entity : Shared Services

    Organization Unit : Physician Ins Billing and Foll

    Work Type : Full Time

    Standard Hours Per Week : 40.00

    Salary Range :  $17.94 - $25.25 per hour (Hiring Range)

    Pay offers are determined by experience and internal equity

    Work Assignment Type : Hybrid

    Work Schedule : Day Job

    Location of Job : US : NC : Chapel Hill

    Exempt From Overtime : Exempt : No

    This position is employed by NC Health (Rex Healthcare, Inc., d / b / a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

    Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and / or to apply for a career opportunity.

    Keywords :

    Medical Billing, Revenue Cycle Management, Insurance Claims, Claims Follow-Up, Healthcare Admin, Patient Accounts, Insurance Denials, Accounts Receivable, Medical Records, Health Insurance