Onslow Memorial Hospital ยท 3 months ago
Ambulatory Claims Analyst (69213)
Jacksonville, NC, USA
Full-time
Onsite
Entry Level
1+ years expOnslow Memorial Hospital is seeking an Ambulatory Claims Analyst to manage the billing and follow-up of patient clinic accounts. The role involves reviewing billing lists, contacting insurance companies, and ensuring prompt payments from third-party payers.
Emergency MedicineHealth CareHealth DiagnosticsHospitalMedicalNursing and Residential Care
Responsibilities
Responsible for the billing, review and follow-up of all outstanding patient clinic accounts
This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list
Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance
Review line item denials and claim rejections for possible appeal and/or research for resubmission
Be proficient in the use of multiple payer software systems
The knowledge of billing codes including CPT, ICD9, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats
The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow
May be required to work overtime if needed
Qualification
Required
High School graduate or recognized equivalent GED
Two years of specialized training in billing and follow up procedures
Preferred
At least one year relevant experience in a physician based business office setting preferred
Company
Onslow Memorial Hospital
Onslow is a hospital.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Dr. Rose Morgan, DNP, MS, BSN, RN, CENP
CNO
Michelle Rauenhorst
MEDITECH Core Team. LEAD PCM (CPOE & PDOC)
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