drjobs Revenue Cycle Specialist, Primary Care

Revenue Cycle Specialist, Primary Care

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1 Vacancy
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Job Location drjobs

Wilmington - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

At Coastal Horizons our mission is to provide a continuum of professional services to promote healthier lives stronger families and safer communities. We are currently seeking a motivated and passionate Revenue Cycle Specialist Primary Care to join our dynamic team. If youre looking for an opportunity to make a difference we invite you to explore the exciting positions available with us.

JOB TITLE: Revenue Cycle Specialist Primary Care

LOCATION: Remote-(must be within 2 hours of Wilmington NC)

POSITION SUMMARY:

Coastal Horizons Center Inc. has an opportunity for a Revenue Cycle Specialist to join our Revenue Cycle Department. The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts receivable management including charge entry coding and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability specific to our Primary Care department.

PRIMARY DUTIES/RESPONSIBILITIES:

  • 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.
  • Responsible for identifying insurance denial trends and other issues resulting in non-payment and discuss those issues with Manager.
  • Generate financial statements and reports detailing revenue to be accrued revenue collected and accounts receivable status.
  • 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.

QUALIFICATIONS:

  • 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

SALARY AND BENEFITS:

  • Competitive salary based on experience
  • 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

HOW TO APPLY:

Interested candidates should submit their resume and cover letter through our Careers Page. If you require an accommodation during the application process please contact us at .

We look forward to reviewing your application!

EEO STATEMENT

Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race color religion sexual orientation gender gender identity and expression national origin age disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.


Required Experience:

Unclear Seniority

Employment Type

Full Time

Department / Functional Area

Administration

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