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Ambulatory Claims Analyst (69213) at ONSLOW MEMORIAL HOSPITAL
Jacksonville, North Carolina, United States -
Full Time

Start Date

Immediate

Expiry Date

05 Apr, 26

Salary

0.0

Posted On

05 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Billing, Patient Accounting, Insurance Claims, CPT Codes, ICD9 Codes, ICD10 Codes, HCPCS Codes, Modifiers, CCI Edits, MUE Edits, Claim Formats, Payer Software Systems, Denials Management, Rejections Management, Appeals, Research

Industry

Hospitals and Health Care

Description
Job Details Job Location: Onslow Ambulatory Services - Jacksonville, NC 28546 Position Type: Full Time 1.0 Job Shift: Day Job Category: Finance Responsible for the billing, review and follow-up of all outstanding patient clinic accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD9, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. May be required to work overtime if needed. Qualifications Education: High School graduate or recognized equivalent GED. Experience: Two years of specialized training in billing and follow up procedures. At least one year relevant experience in a physician based business office setting preferred.
Responsibilities
Responsible for the billing, review, and follow-up of all outstanding patient clinic accounts. This includes timely review of billing lists and contacting insurance companies and patients for claims processing.