The mission of Coastal Horizons is to promote choices for healthier lives, stronger families, and safer communities.
Revenue Cycle Specialist, Primary Care
Location
North Carolina
Posted
8 hours ago
Salary
0
Seniority
Mid Level
Job Description
Revenue Cycle Specialist, Primary Care
Coastal Horizons
• Review clinical documentation for accuracy and ensure proper coding prior to processing electronic claims • Communicate and educate providers and/or managers when coding errors are identified and/or when payer requirements change as it relates to coding • Collaborates with Billing Manager and AR Manager to identify insurance denial trends and other issues resulting in non-payment and discuss how to reduce denials • Collaborate with Manager to build and/or update the billing/coding and resource manuals specific to Primary Care services • Collaborate with the Patient Access Specialist to reconcile client accounts with eligibility related issues
Job Requirements
- Associates or Bachelors Degree with and/or 2-3 years experience related to responsibilities specified in a Primary Care setting
- CPC certification required
- Knowledge of billing concepts, practices, and procedures specific to Primary Care
- Experience with health care billing systems (preferably Welligent experience)
- Experience with reviewing clinical documentation to apply CPT and ICD-10 codes for billing purposes
- Strong understanding of Revenue Cycle
- Basic computer skills including Office 365, Teams, and Excel
- Experience with North Carolina Medicaid
Benefits
- Comprehensive medical, dental, and vision insurance
- Educational loan repayment programs
- Career growth
- Retirement savings plan/401K
- Paid time off programs, rollover hours, 14 paid holidays
- Employee engagement activities, resource groups, and diversity events
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