2 Account Reimbursement Specialist I Jobs in Charlotte, NC

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Account Reimbursement Specialist I

Tryon Medical Partners

Charlotte, NC | Full Time

$41k-51k (estimate)

2 Months Ago

Coding Reimbursement Specialist I - Revenue Cycle

Candidate Experience site

Charlotte, NC | Full Time

$46k-58k (estimate)

10 Months Ago

Account Reimbursement Specialist I

$41k-51k (estimate)

Full Time 2 Months Ago

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Tryon Medical Partners is Hiring an Account Reimbursement Specialist I Near Charlotte, NC

Revenue Cycle Account Reimbursement Specialist I

Job Summary:

The Account Reimbursement Specialist I (ARS I) is responsible for accurately processing information to ensure accurate and compliant billing for office and hospital procedures. The Revenue Cycle – ARS I researches insurance guidelines and focuses on improving the effectiveness of billing processes. The position requires attention to detail, strong organizational skills, and dependability. This role is vital to the overall financial success for the organization. Primary Job Responsibilities:

Performs daily billing activities to ensure successful processing and payment of claims.
Ensures claim information is complete and accurate for charge entry and data enters key demographic information necessary for insurance claim processing.
Verifies all patient benefits, eligibility, and coverage to ensure accurate billing.
Audits completeness and accuracy of all claims prior to submission to claims clearinghouse.
Make necessary claim corrections to resolve payer claim edits and rejections.
Reports billing changes, billing issues, and process improvement plan accomplishments to RCM Leadership.
Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs other duties as required or assigned within the scope of responsibility.

Requirements:

Minimum of two (2) years of complex claim follow-up experience in a physician office, hospital, ambulatory surgery center or centralized medical business office.
Knowledge of medical terminology, ICD-10, and CPT codes.
Excellent computer skills; Intermediate skill with Microsoft Word, Outlook, and Excel.

Experience working within EMR systems. Experience with AthenaHealth EMR is a plus.

Experience interpreting payor explanation of benefits.
Excellent verbal communication skills and strong customer-service background.
Ability to manage time and organize daily schedule to meet productivity and accuracy standards.

Education and Certifications:

High school diploma or equivalent required.
Associate degree in business, healthcare administration or related field highly preferred.

Physical Requirements:

Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
Must be able to lift and support weight of 35 pounds.
Ability to concentrate on details.
Use of computer for long periods of time.