Wilmington, North Carolina, United States · On-site
Job DetailsJob Location: 917 N 4th St - Wilmington, NC 28401JOB SUMMARY: The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Rev…
Skills: Medical billing, ICD-10, CPT coding, HCPCS coding, Revenue cycle management
Wilmington, North Carolina, United States · On-site
$16/hr–$19/hr
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U-HaulWilmington, North Carolina, United States · On-site
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Wilmington, North Carolina, United States · Remote Solely
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Wilmington, North Carolina, United States · On-site
$22/hr–$31/hr
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Wilmington, North Carolina, United States · On-site
Please use Google Chrome or Mozilla Firefox when accessing Candidate Home.By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are yo…
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Wilmington, North Carolina, United States · On-site
Overview Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace…
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Leggett & PlattWilmington, North Carolina, United States · On-site
We make life more comfortable. Leggett & Platt’s overall mission is a commitment to enhance lives – by delivering quality products, offering empowering and rewarding careers, and doing our part in bringing about a better…
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Wilmington, North Carolina, United States · On-site
Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control an…
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Wilmington, North Carolina, United States · On-site
$16/hr–$24/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy operations, Customer service, Communication skills, Mathematical reasoning, Problem resolution
U-HaulFayetteville, North Carolina, United States · On-site
United States This position is not eligible for employer sponsorship. Applicants must be legally authorized to work and must not require employer sponsorship. Location: 2346 Gillespie St, Fayetteville, North Carolina 283…
Skills: Flatbed Truck Operation, Forklift Operation, Customer Service, Container Loading, Local Route Navigation
Wilmington, North Carolina, United States · On-site
$13/hr–$15/hr
Our Story At Madewell, we believe that great style starts with great design. Since 2006, we’ve been creating premium denim and foundational wardrobe pieces for men and women that balance quality, authenticity, and versat…
Skills: Customer service, Sales, Communication, Teamwork, Problem-solving
Wilmington, North Carolina, United States · On-site
Store 2723151: 6648 Gordon Rd, Wilmington, North Carolina 28411 Shift AvailabilityOvernights (Weekdays + Weekend Availability Required) Time Type Part time Customer Service Representative We want you to join our team as …
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National Railroad Safety Services, Inc. (NRSS)Wilmington, North Carolina, United States · On-site
$25/hr–$37/hr
National Railroad Safety Services, Inc. is seeking dedicated, safety-driven individuals for the Contractor in Charge position in Wilmington, NC. This essential role is responsible for ensuring all work within railroad ri…
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Wilmington, North Carolina, United States · On-site
Akumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home. W…
Skills: PET/CT imaging, Nuclear medicine, Patient safety, Aseptic injection, Radiation safety
U-HaulWilmington, North Carolina, United States · On-site
United States This position is not eligible for employer sponsorship. Applicants must be legally authorized to work and must not require employer sponsorship. Location: 29 Van Campen Blvd Ste 113/115, Wilmington, North C…
Skills: Flatbed Truck Operation, Forklift Operation, CDL-A, Customer Service, Loading And Unloading
Wilmington, North Carolina, United States · On-site
$16/hr–$24/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Pharmacy operations, Prescription fulfillment, Customer service, Active listening, Mathematical reasoning
Wilmington, North Carolina, United States · On-site
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as…
Skills: Sales, Customer service, Prospecting, Relationship building, Cross-selling
U-HaulWilmington, North Carolina, United States · On-site
United States This position is not eligible for employer sponsorship. Applicants must be legally authorized to work and must not require employer sponsorship. Location: 29 Van Campen Blvd Ste 113/115, Wilmington, North C…
Skills: Customer service, Time management, Multitasking, Office equipment, Multiline phones
Fayetteville, North Carolina, United States · On-site
About this role: Wells Fargo is seeking a Senior Business Banking Relationship Manager (LO) to be part of our growing Business Banking Team. This role will support customers in an assigned market by deepening relationshi…
Skills: Relationship management, Business banking, Strategic prospecting, Financial assessment, Credit analysis
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The Billing Specialist is responsible for managing the end-to-end claims process, including accurate claim submission, follow-up, and resolving billing issues with payers and patients. They also provide coding and documentation education to providers and ensure compliance with federal and state regulations.
Candidates must have a high school diploma or GED and at least 3 years of medical billing experience. Proficiency in ICD-10, CPT/HCPCS coding, and medical billing systems is required, along with a Certified Professional Coder credential or equivalent experience.
Job DetailsJob Location: 917 N 4th St - Wilmington, NC 28401JOB SUMMARY: The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues.
Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
The position reports to the Billing Manager. No staff report to this position.
· Prepares and submits clean claims to third party payers either electronically or by paper
· Follows billing guidelines and legal requirements to ensure compliance with federal and state regulations
· Respond to account inquiries from patients, payers, providers, and/or other staff as requested
· Identifies and resolves patient/insurance billing issues
· Work closely with team members regarding claim appeals, denials, resolution, and education
· Performs and monitors all steps in the billing processes to ensure maximum reimbursement from patients, government, and commercial payers as well as from special billing arrangements
· Understands Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Updates business office staff, clinics, residents, and faculty of changes as appropriate
· Responsible for ensuring all new providers are oriented to coding, billing, and documentation compliance
· Responsible for the continuing coding, billing, and documentation education for all providers and residents
· Use online healthcare databases and other resources for verification and claim status
· Deliver the highest quality service to internal and external customers
· Assist other members of the team with projects as needed
· Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
· Other duties as assigned by management
· Adhere to the Mission and Values of MNHC
· High School Diploma/GED with minimum 3 years billing experience
· Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes
· Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent
· Knowledge of EOBs, EFTs and ERAs
· Knowledge of Microsoft Office software
· Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
· Accurate and precise attention to detail
· Excellent verbal and written communication skills
· Able to work both independently and as part of a team
· Must possess team leadership skills and have a positive disposition
· FQHC Billing
· Certified Professional Coder or equivalent experience in years
· All I/P accounts will be billed within 21 days from the date the chart is completed by physician.
· All residents receive coding education prior to mid-terms.
· Average AR days greater than 120 days are less than or = 15% of total receivables.
· Overall Average AR days are less than or = 35 days.
· Reduce the number of timely files denials to less than or equal to 1% of gross I/P charges as tracked by adjustment code
PHYSICAL DEMANDS: The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to stand, walk, talk, and hear, use hands to finger, handle or feel. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee is frequently required to lift and/or move up to 20 pounds.
The special vision requirements for this job are close vision (clear vision at 20 inches or less), color vision (ability to identify and distinguish colors).
WORK ENVIRONMENT: The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions for this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
MedNorth Health Center provides comprehensive health care services, inside a multi-cultural medical/dental clinic, to all individuals; insured, uninsured, and underinsured. The building is heated in winter and air conditioned in the summer with noise levels of moderate to loud. We serve patients who speak multiple languages and who may need the assistance of an interpreter. In this position one may be subject to exposure to copier toner, correction fluid, bright fluorescent lighting, and continuous personal computer exposure.
This job is a Blood borne Pathogen’s risk category I position.
The employee is expected to attend work on a daily basis and to be at work on time.
The employee is expected to be a team player.
The employee is expected to report absences in accordance with personnel policies and procedures.
The employee’s work is expected to be accurate, neat, and thorough, and completed on time.
The employee is expected to have a positive attitude, be cooperative, and considerate of others.
The employee is expected to be dependable and is expected to accept responsibility for assignments and duties given.
The employee is expected to dress and act in a professional manner and to adhere to all safety standards.
The employee is expected to participate in staff meetings, be courteous and polite with patients and other staff.
The employee is expected to maintain confidentiality.Qualifications
Building a Healthier Community.
MedNorth Health Center (formerly New Hanover Community Health Center) receives federal grant funds to provide a full spectrum of primary and preventative health care services to medically undeserved populations in New Hanover County. Patients receive services regardless of the individuals or families ability to pay. Our service are designed to cover prenatal, pediatric, adolescent, adult and geriatric life cycles. We are not a free clinic. Our charges for this population are based on a sliding fee scale that takes into consideration the number of persons in the family and their total income. We provide primary health care to anyone coming to us for care. We accept almost all insurances, Medicaid and Medicare. If you have any questions or would like to establish care with us, please feel free to give us a call at (910) 343-0270!
Offices: 925 N 4TH ST, WILMINGTON, North Carolina 28401, US
