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ncgCARE
Raleigh, NC | Full Time
$46k-61k (estimate)
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UNC Health Care
Raleigh, NC | Full Time
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Revenue Cycle Billing Representative
ncgCARE Raleigh, NC
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$46k-61k (estimate)
Full Time 1 Week Ago
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ncgCARE is Hiring a Revenue Cycle Billing Representative Near Raleigh, NC

Revenue Cycle Representative
Raleigh, NC
(Hybrid/Remote position. Two days per week in office required)
Essential Functions:
  • Provide direct support to patients and/or customers regarding coverage for company related services including updates on claim status, billing inquiries, coding issues, etc.
  • Answer calls from physician offices, hospitals, and patients using exemplary customer service skills.
  • Verify accuracy of billing data and revise errors.
  • Post all credit and debit adjustments to accounts with adherence to company guidelines.
  • File all charge, payment and adjustment batches in the appropriate format per departmental guidelines.
  • Follow up on all outstanding claims at 30, 60, 90 days from date of service per department protocols with an emphasis on maximizing patient satisfaction and company profits for both insurance and patient due balances.
  • Follow up on all returned claims, denials, correspondence, account reconciliations and rebills within 5 business days of receipt of information/request to achieve maximum reimbursement in a timely manner.
  • Review for and request approval for bad debt write offs per company policy.
  • Provide feedback and information to other reimbursement staff to ensure accuracy and timely reimbursement pertaining to billing, coding, carriers and other related information.
  • Monitor insurance fee schedules and plan requirements for company related services.
  • Proficiency with all revenue cycle representative role responsibilities.
  • Maintain patient confidentiality as defined by state, federal and company regulations.
  • Establish effective rapport and maintain cooperative working relationships with other employees, professional support service staff, customers, clients, patients, families and physicians or other healthcare providers.
  • Actively support departmental and corporate strategic plans and ensure successful implementation.
  • Perform day to day administrative functions and general office duties related to the reimbursement department.
  • Practices confidentiality and privacy protocols in accordance with company policies and HIPAA requirements.
  • Exercises problem-solving and conflict resolution skills when handling patient complaints.

Job Summary

JOB TYPE

Full Time

SALARY

$46k-61k (estimate)

POST DATE

05/03/2024

EXPIRATION DATE

05/16/2024

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