Claims Billing Representative jobs in United States
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Cone Health · 9 hours ago

Claims Billing Representative

Cone Health is seeking a Claims Billing Representative to efficiently process third-party claims for payment on designated inpatient and outpatient accounts. The role involves ensuring accurate claims submission and adherence to regulations, with a focus on minimizing accounts receivable days.

Health CareMedicalMedical Device

Responsibilities

Processes third-party claims for payment on assigned patient accounts promptly and accurately, ensuring that all claims are filed electronically or on paper as required by regulations and policies in order to facilitate timely reimbursement
Works on all claim-related edits diligently, processing claims accurately to adhere to regulations, policies, and guidelines and verifies charges for accuracy and completeness to maximize reimbursement, including the correct and timely submission of attachments required for claims
Completes billing claim edits accurately and within a timely manner, ensuring that all claims are billed on a daily basis and maintaining a window of no more than three days to ensure a smooth billing process and minimize delays in claim submissions
Maintains thorough, concise, and up-to-date documentation, ensuring that all relevant information related to claims processing is well-documented
Stays up-to-date with changes in healthcare reimbursements, attending seminars and weekly staff meetings to maintain current knowledge
Performs other duties as assigned

Qualification

Claims processingHealthcare reimbursement knowledgeDocumentation skillsAttention to detailTime management

Required

High School Diploma or equivalent
3 Years of experience

Company

Cone Health

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Cone Health is a not-for-profit network of health care providers serving people in Guilford, Forsyth, Rockingham and surrounding counties.

Funding

Current Stage
Late Stage
Total Funding
$0.1M
2024-06-21Acquired
2015-08-11Seed· $0.1M

Leadership Team

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Mary Jo Cagle
President and CEO
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Suresh Krishnan
Vice President and Chief Technology Officer
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Company data provided by crunchbase