Revenue Cycle Billing Specialist

Insurance Billing Specialist

Manage daily billing functions for assigned patient insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP).

Specific responsibilities include :

• Maintain accounts receivable KPI (A / R balances older than 120 days must be less than 19% of total A / R)
• Maintain adjusted collection percentage KPI (Reimbursement / Collections equal to or above 97% of expected)
• Review and resolve denied patient insurance claims
• Assist in identifying current and / or potential billing issues specific to unpaid claims
• Post and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustments
• Post and balance all payments from patients
• Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
• Correct errors on electronic error reports
• Process and print / transmit patient insurance claims, bills and other reports.
• Respond to patient account inquiries in person, by phone, or by mail; resolve problems as necessary
• Respond to inquiries from office staff regarding patient charges, appropriate diagnosis coding, and insurance coverage related issues
• Respond to inquiries from employees, payers, and patients regarding CPT and ICD-10 codes
• Maintain high level of patient confidentiality
• Ensure compliance with HIPAA regulations
• Other duties as assigned

Key competencies include :

Specified skills include :

Physical demands are not applicable.

Education and experience :

Schedule : Regular attendance on-site is an essential function of this position. Typical business hours are Monday Friday, 8 : 00 am to 5 : 00 pm (or flexed to best meet the needs of the clients and / or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader.

Position compensation : $22.31 / hour

At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.

All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.

MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer.