Carolinas Fertility Institute, P.A.

Compensation

Full Description

PRIMARY DUTIES AND RESPONSIBILITIES: Primarily responsible for detailed and specialized charge entry. Back up other billing team members as needed. ESSENTIAL JOB DUTIES MAY INCLUDE: • Contacting patient insurers from policy information provided on new patients. • Employee works as part of clinical care team to promptly contact insurers once it is known that a patient’s treatment plan requires a procedure requiring pre-authorization • Learning various insurers and contact information • Documenting call information, numbers, dates in the electronic medical record clearly and completely when needed • Scan new patient medical records and Insurance Authorizations into EHR • Communicate with other billing team members and/or patient as required when needed • Working denied claims in a timely manner to ensure that denied claims are paid within 30 days of denial. • Call patients with collections. • Be a patient point of contact for claims and billing questions. • Provide corrected information if policy numbers, dates, diagnosis codes or other information is missing or incorrect. • Sending corrected information to claims re-processing department at various insurers and documenting that such steps were taken in accordance with CFI policies. • Charge entry • Responsible for compliance with all HIPAA regulations presented in training provided by CFI. • Write up refunds • Work on collection balances related to insurance denials • Gain full working knowledge of RCM process ADDITIONAL JOB DUTIES • Handle incoming patient calls about billing questions professionally and compassionately, providing accurate information on CFI policies. • Become proficient in the organization’s information systems • Appropriate handling of sensitive patient information compliant with applicable governing regulations in regards to such information. TYPICAL PHYSICAL REQUIREMENTS: • Visual acuity and above average dexterity. • At times may come in contact with viral and bacterial infections, exposure to blood borne pathogens and occasional exposure to toxic substances. • Capable of a moderate amount of walking, standing, and/or sitting. • Ability to stand, sit, walk, minimum lifting (no more than 20 lbs), bending, stooping, normal or corrected visual, hearing and good manual dexterity are required. • Ability to lift or carry no more than 20 pounds or pull or push no more than 50 pounds. POSITION REQUIREMENTS: · Associates Degree and relevant certifications · Previous experience of at least 10 years of charge entry or RCM in a multisite medical environment with large cash payments. Fertility or OB/GYN clinic experience is preferred. • Ability to work independently with minimal supervision on a daily basis • Attention to detail and high level of accuracy required for account related work. • Ability to remain calm and professional when dealing with patients who may be upset about financial issues Work Remotely • No Job Type: Full-time Benefits: • 401(k) • Dental insurance • Health insurance • Life insurance • Paid time off Application Question(s): • This is not a remote position. Are you willing to work in the Winston Salem clinic location? Experience: • Medical billing/AR: 10 years (Required) License/Certification: • Medical Coding Certification (Required) Ability to Commute: • Winston-Salem, NC 27103 (Required) Work Location: In person