Job Description

Job Description

Job Description

Position Summary:

The primary purpose of this position is to perform billing, payment posting and denial management for physician and dental providers.

Job Responsibilities:

• Maintain daily medical and dental charge entry functions for designated site(s)
• Audit patient accounts for demographic & insurance accuracy.
• Files claims to secondary insurance (i.e. Medicaid, Carolina Access, PHP Plans, Tailored, Commercial Payers or Medicare) for payments.
• Respond to all inquiries and correspondences from patients and insurance companies.
• Maintain the A/R work queues for designated site(s)
• Back up front office duties which may include answering incoming calls, appointment scheduling and outbound appointment reminder calls.
• Obtain and correct missing or incorrect information to patient accounts from insurance companies, as needed.
• Develop and maintain strong working relationships within the billing team and finance department.
• Maintain patient confidentiality and provides customer service.
• Abide by all company policies regarding safety/health rules and regulations.
• Adapts to various situations and adjusts to shifting priorities.
• Perform other tasks as assigned.

Job duties require a high school education with additional specialized courses in medical/dental terminology. Must have a working knowledge of medical/dental billing, working knowledge of commercial billing, strong computer skills, strong written communication skills, denial management, phone etiquette and be a team player. Must maintain current NC driver's license for occasional outside travel.

Minimum Qualifications Include

• Three (3) years of billing experience within the healthcare industry, to include knowledge of third-party physician billing and collections, customer service, cash application, payment analysis and denial management.
• Dental coding and billing
• Commercial and Medicaid Billing experience
• Denial Management experience

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