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Professional Billing Coordinator at FirstHealth of the Carolinas, Inc.

FirstHealth of the Carolinas, Inc. · Pinehurst, United States Of America · Onsite

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Overview:
The Physician Billing coordinator position is responsible for the following:  editing/billing physician and clinic claims to payers for charges incurred at FirstHealth clinics, following up with payers regarding non-payment, denial and/or underpayment, ensuring that billing is compliant and accurate, managing clinic accounts receivables to ensure that we bill within payer timely-filing limits and adding documentation to accounts to reflect communication with payers.

 

 

 

 

Responsibilities:
  • Submit and edit clinic and physician claims accurately.

  • Follow up on denials, underpayments, and unpaid claims.

  • Ensure billing compliance with payer guidelines.

  • Manage accounts receivable and meet timely filing deadlines.

  • Document payer communications in account records.

Qualifications:

Education:  High school graduate.  Technical College or certification preferred.  Five years medical billing experience is preferred (not required.)  

 

Additional skills:  Experience with practice management systems; office automation skills; extensive knowledge of CPT and ICD-10 coding and insurance reimbursement; strong interpersonal and verbal communication skills; good organizational skills.  Has extensive experience communicating with patients regarding collection of patient balances and explaining balance details. 

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