Top 11 Claims representative Jobs in Greenville, Nc

Billing and Collections Representative
Contentnea Health —Snow Hill, NC
- Full-time
- Mid-level
- Employee discount
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Multi-Line Representative - State Farm Agent Team Member
Cory Kennedy - State Farm Agent —Greenville, NC
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- 401(k)
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Team Lead, Credit Balance Resolution
ECU Health —Greenville, NC
- $18.38 - $26.79 an hour
- Day shift
- Remote
- Computer literacy
- Writing skills
- Medical office experience
Account Manager - State Farm Agent Team Member
Timothy Sawyer - State Farm Agent —Greenville, NC
- $30,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Paid time off
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Order Management Lead
ABB Inc. —Pinetops, NC
- Full-time
- Management
- Engineering
- Mid-level
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12d

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Billing and Collections Representative

Contentnea Health -
Snow Hill, NC

Quick Apply

Job Details

Full-time

Benefits

Employee discount

Qualifications

Medical billing and coding data entry
Dental terminology

Full Job Description

Company Overview

Contentnea Health is a Community Health Center providing comprehensive medical, dental and behavioral health services for members of our communities in Greene, Pitt and Pamlico counties in eastern North Carolina.

Job Summary

Submits healthcare claims accurately and efficiently, including researching and correcting denials and errors, applying discounts and adjustments, and resubmitting claims as needed to ensure timely payment.

Responsibilities and Duties

Performs billing and collection activities for medical, behavioral health and dental services.
- Creates claims submissions for assigned payers and/or patient accounts.
- Corrects and resubmits rejected claims for assigned payers and/or patient accounts.
- Researches, corrects and resubmits denied claims for assigned payers and/or patient accounts.
- Follows-up with payers via the most effective channel (payer portals, email, phone) to resolve outstanding claims including filing appeals and reconsideration requests.
- Identifies credit balances for assigned payers and/or patient accounts, researches and verifies accuracy of credit balance and submits refund requests as appropriate.
- Identifies account balances meeting the criteria for bad debt write-off, researches and verifies accuracy of balance and flags balances as appropriate to be written off as bad debt.
- Posts third party payments for assigned payers and/or patient accounts accurately to charges.
- Reviews account balances for patients qualified for the Sliding Fee Discount Program and applies discounts to eligible patient charges.
- Performs work in accordance with departmental timelines for claims creation, submission, resolution of claim rejections and denials and open/unpaid claims.
- Assists with reconciliation of patient and payer payments as requested.
- Communicates with credentialing staff and/or external credentialing vendor as needed to ensure necessary enrollments and/or updates are performed to mitigate claims denials.
- Maintains all documents relevant to daily billing functions in internal data repository, e.g. remittance advices, payer correspondence, fee schedule, billing/coding rules, W9 forms, memos, charge slips, training documents etc.
Provides customer service to internal and external customers.
- Acknowledges, researches, and resolves patient inquiries related to billing and financial counseling functions.
- Provides written notification to supervisor of all patient complaints regarding billing and collections.
- Responds to staff inquiries regarding patient billing and collections.

Qualifications and Skills

Possesses specific knowledge and training in billing processes and practices, typically acquired during completion of a certificate program in billing practices with a duration of up to a year. Possesses a basic knowledge of medical terminology, procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors. Current certification as a Community Health Coding and Billing Specialist (CH-CBS).

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Refine Your Search

claims representative jobs in greenville, nc

Billing and Collections Representative

Multi-Line Representative - State Farm Agent Team Member

Team Lead, Credit Balance Resolution

Account Manager - State Farm Agent Team Member

Order Management Lead

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