Eagle Physicians & Associates, P.A. - Greensboro, NC
posted about 2 months ago
Full-time - Entry Level
Hybrid - Greensboro, NC
Ambulatory Health Care Services
About the position
Eagle Physicians & Associates is seeking an experienced Claims Specialist to join their Business Services team. This full-time position involves managing medical billing for primary care physicians, ensuring accurate coding and timely resolution of claims. The role emphasizes attention to detail, strong organizational skills, and the ability to work collaboratively within a team. The company values employee engagement and offers a supportive work environment with opportunities for professional development.
Responsibilities
- Work all assigned claims within specified time period.
- Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers.
- Follow protocol when billing selected services and performing specific claim functions.
- Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed.
- Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources.
- Correct all identified errors on claims prior to submitting.
- Correct all returned claim denials assigned to you in a timely manner.
- Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues.
- Communicate with site administration or providers as needed.
- Participate in professional development activities and maintain professional affiliations.
- Follow HIPAA guidelines for patient confidentiality and maintain security of Protected Health Information (PHI) and business information.
Requirements
- Minimum 1-year medical billing and claims processing experience.
- High School diploma or GED.
- Strong attention to detail and organizational skills.
- Strong computer skills and understanding of insurances and healthcare billing.
- Knowledge of anatomy, physiology, and medical terminology necessary to correctly review claims for accuracy.
Nice-to-haves
- Knowledge of eClinical Works preferred.
Benefits
- Paid parental leave
- Paid maternity/paternity leave after 1 year employed and 1,250 hours worked.
