Novant Health Urgent Care (Formerly Doctors Care) · 1 month ago
Accounts Receivable Specialist FT (Columbia)
Columbia, SC
Full-time
Onsite
Mid Level
3+ years expNovant Health Urgent Care is part of the Novant Health family based in North Carolina, providing exceptional healthcare through its network of urgent care centers. The Accounts Receivable Specialist will work to resolve outstanding claims and ensure timely compensation for services rendered, while maintaining compliance with relevant regulations.
Emergency MedicineHealth CareHospitalMedicalPrimary and Urgent CareTherapeutics
Responsibilities
Reviews, researches and resolves insurance claims, unprocessed third-party claims, denials, underpayments and overpayments
Verifies accuracy of billing data and corrects errors; resubmits clean claims to payers electronically or via paper claim
Works, monitors and manages his/her respective workbaskets including, but not limited to, denials, 60 Day, 90 Day, 120 Day, and 150 Day aging on assigned insurance carrier(s) to get claims paid in a timely manner
Works incoming mail and EOBs (Explanation of Benefits) from the insurance carriers and processes claims related correspondence to resolve issues
Works EDI transactions, ERA files and rejection reports
Contacts payers via phone to help expedite the resolution of claims and payments
Accesses web-based applications and internet for claim status and eligibility of services
Identifies and resolves patient billing complaints and inquires. Assists the overflow customer service line when volume of incoming calls warrants assistance
Complies with Patient Accounting quality and productivity standards
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Other duties and responsibilities as assigned by supervisor
Qualification
Required
High School diploma or equivalent
Three (3) years medical billing experience
Strong knowledge of Medicare claims processing regulations and other payer specific guidelines
Strong written and verbal communication skills
Ability to establish and maintain cooperative working relationships and the ability to work in teams
Proficiency in Microsoft Office programs such as Word, Excel and Outlook
Preferred
Associates Degree
Medical Billing, Revenue Cycle and/or Coding Certification (CRCR, CPC)
Benefits
Competitive wages with annual market data review
Incentive Pay Program
Continuing Education Reimbursement
Eligible employer under the Public Service Loan Forgiveness (PSLF) Program
UpToDate Subscription
Generous PTO
403(b) with 100% vested match
Health, dental, vision insurance
Health Reimbursement Account
Flexible Spending Account
Short term and Long-term Disability
Whole and Term Life Insurance
Rewarding Careers
Great working environment
Company
Novant Health Urgent Care (Formerly Doctors Care)
Novant Health Urgent Care (formerly Doctors Care) has provided convenient, quality urgent and family care services to patients across South Carolina since 1981.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Shelley Janssen, MD
Chief Medical Officer
Company data provided by crunchbase