Why Novant Health?

• Come join a remarkable team where quality care meets quality service, in every dimension, every time. Let Novant Health be the destination for your professional growth, as you take advantage of the opportunities to advance to other roles and responsibilities!
• 8 Magnet Designated Hospitals
• LeapFrog Grade “A” Ratings at Novant Health facilities
• Novant Health is recognized as one of the Best Places to Work for Disability Inclusion, Forbes Best Employers for Women in 2020, Leaders in LGBTQ Healthcare Equality and 50 Best Places for Women and Managers of Diverse Backgrounds to Work.

About the Job
Location: Glen Meade Center for Women’s Health
Department: Glen Meade Women’s Hlth-Wilm
Full Time Equivalent: FTE: 1.000000
Work Type: 64 to 80 Hours Pay Period
Work Schedule: 8HR DAY - Most of shift btwn 7A-3P
Exempt from Overtime: Exempt: No
Overview
Summary:
The Business Office Representative is responsible for the primary functions of the Practice Business office. Responsibilities include, claims reviews, billing inquiries and insurance issues and/or patient concerns.
Responsibilities:

Responsibility II: Billing

• Ensures physician charges are applied to the correct patient account by verifying information indicated on charge document against system information.
• Perform limited ICD-9 and CPT-4 coding from charge slips, encounter forms, or source documentation.
• Research credit balances and request refunds appropriately.
• Communicates with manager any emerging denials, trends, etc

Responsibility III: Claims

• Ensures billing and filing of insurance by Central Billing Office (Professional billing) and System Billing Office (Technical or Facility billing) is completed accurately and in accordance with requirements of third party intermediaries
• Follow-up with insurance companies and inquire on claim status of any unpaid claim aged 45 days guidelines
• Recognizes EOB denial, payment and pending remark codes
• Maintain a working knowledge of insurance appeals processes and be proficient in writing an appeal letter

Responsibility IV: Insurance

• Utilize telephone and internet to verify insurance benefits for new patients and patients scheduled for comprehensive examinations for all locations. Provide insurance verification forms to reception staff prior to patient appointments.
• Accurately update patient demographic information as provided by patients and/or insurance companies

Responsibility V: General Practice Duties

• Knowledge of Fair Debt Collection Practices Act, PHI, HIPAA as well as other State and Federal regulations pertaining to health insurance statutes
• Ability and flexibility to cover various medical offices when needed
• Performs cash management protocols as assigned
• Adheres to company policy on continuing education programs, i.e. Annual HIPAA training
• Adheres to departmental dress codes as observed by director and wears picture identification badge, 100% of the time.

Qualifications
Credentials:
Education:

Essential:

• High School Diploma

Other information:
Experience: At least 1 year previous medical office experience working within a patient registration, insurance verification, claims analyzing or billing role. Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.
Performs other duties as assigned.
Individual will possess commensurate combination of education, experience and qualifications.
Other Information
This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters teamwork, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of “First Do No Harm”.

JoinTeamAubergine #NovantHealth. Let Novant Health be the destination for your professional growth

• Knowledge of Fair Debt Collection Practices Act, PHI, HIPAA as well as other State and Federal regulations pertaining to health insurance statutes
• Ability and flexibility to cover various medical offices when needed
• Performs cash management protocols as assigned
• Adheres to company policy on continuing education programs, i.e. Annual HIPAA training
• Adheres to departmental dress codes as observed by director and wears picture identification badge, 100% of the time