Top 23 Business specialist Jobs in Mills River Nc

Denial Specialist
Genova Diagnostics —Asheville, NC
- From $17 an hour
- Extended hours
- Microsoft Excel
- Computer literacy
- Medical office experience
- Health savings account
- Health insurance
Quick Apply
4h
Inside Sales Specialist
Eaton —Asheville, NC
- $81,000 - $118,000 a year
- Hybrid work
- Background check
- Marketing
- Engineering
- Retirement plan
7d
Specialist, Codes & Standards - State Adoption
Eaton —Arden, NC
- $97,000 - $143,000 a year
- Remote
- Background check
- Marketing
- Engineering
- Retirement plan
Training Support Specialist
Blue Ridge Health —Hendersonville, NC
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Relationship Banker Business Specialist
PNC Financial Services Group —Asheville, NC
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Health savings account
Operations Specialist
AdaptHealth, LLC —Asheville, NC
- Full-time
- Background check
- HIPAA
- Administrative experience
- Paid parental leave
- Health savings account
Quick Apply
Communications Specialist
Chloeta —Asheville, NC
- Full-time
- Pass drug screening
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply
Economic Development Specialist
The City of Asheville —Asheville, NC
- Weekends as needed
- Background check
- Inventory management
- Basic math
10d
FT Administrative Operations Specialist
Haywood Community College —Clyde, NC
- Online Application
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Disability insurance
Development and Marketing Specialist (Advancement - Sales and Client Engagement)
Asheville Museum of Science —Asheville, NC
- $38,000 - $50,000 a year
- Full-time
- Sales
- Marketing
- Research
- 403(b) matching
- Health insurance
Quick Apply
Financial Service Specialist
CHAMPION CREDIT UNION —Brevard, NC
- Overtime
- Mid-level
- Office
- High school diploma or GED
Quick Apply
12d
Timber Specialist
Chloeta —Asheville, NC
- Full-time
- Pass drug screening
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
INspire Peer Support Specialist - Cherokee Indian Hospital
Land of Sky Regional Council —Asheville, NC
- Hospital
- Mid-level
- Office
Employment Specialist/Job Coach - Fletcher
UMHS —Asheville, NC
- $15,000 - $25,000 a year
- Part-time
- Experience working with individuals with disabilities
- Driver's License
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
7h
Sales and Marketing Response Specialist
Cliffs Club Services, LLC —Travelers Rest, SC
- Full-time
- Google Workspace
- Marketing
- Writing skills
Quick Apply
Technician Marketing Specialist
FlexTrades —United States
- $75,000 - $80,000 a year
- Full-time
- Remote
- Background check
- Marketing
- Salesforce
- Health savings account
- Paid holidays
14d

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Denial Specialist

Genova Diagnostics -
Asheville, NC

Quick Apply

Job Details

Full-time
From $17 an hour
4 hours ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
Life insurance

Qualifications

Computer operation
Customer communication
Microsoft Excel
Medical office experience
Health insurance policy knowledge
Processing cash transactions
Filing
High school diploma or GED
ICD-10
Accounting data entry
Medical explanation of benefits reviews
Associate's degree
Customer service problem-solving
Cash allocation
Quality data entry

Full Job Description

Working Hours: 8:00am - 4:30pm (Monday - Friday)

Occasional extended hours may be required to meet business needs.

Company Mission: Empowering clinicians with precision diagnostics to transform outcomes-from prevention and performance to chronic disease.

Vision: To set the standard for diagnostic excellence-delivering the scientific rigor and clinical insight that redefine what is possible in human health.

Position Summary:

The Denial Specialist is responsible for working third party A/R and denials to ensure appropriate payment for Genova’s claims and timely resolution of third party accounts receivable according to Genova policy. Completes denial follow up and no response research with insurance carriers, patients, and clients to ensure claims are processed and to obtain adjudication information. He/she re-submits claims and appeals as necessary to ensure appropriate and timely reimbursement. The Denial Specialist is responsible for maintaining the 48 hour turn-around time requirement for the daily posting of all payment/adjustment categories including check, EFT, and Zero payment, Patients, Consumers, EOB’s and remittances manually and electronically. Interpretation of the Explanation of Benefits (EOB) and claim adjudication will be required in order to post remittances at the CPT code and denial code level. The position is responsible for the accurate posting of payments and adjustments to the correct invoices. This position supports billing processes and other A/R processes as necessary to ensure excellent cash collections and DSO performance.

Essential Duties and Responsibilities:

Responsibilities include but are not limited to the following:

Technical

Maintains full awareness of compliance issues in relation to any insurance contracts, and other insurance regulatory issues. Must report any concerns with applicable government regulation, compliance issues to the Office of Quality.
Works patient accounts to ensure appropriate adjudication and payment of claims. Processes re-bills, appeals, and processes adjudication information.
Makes corrections to patient accounts in billing system to obtain reimbursement for claims.
Works in clearinghouse system to correct claims and obtain information required to obtain reimbursement for claims.
Uses web resources, imaging system, A/R system, clearing house, and other Genova systems in the course of working A/R and denials to obtain information required for appropriate reimbursement.
Work denials from third party payers. This includes submitting requested lab results, corresponding with practitioners to obtain medical records and resubmitting claims as needed.
Prepare and submit any insurance secondary billing when appropriate.
Interpretation and posting of all 3rd party insurance (including Medicare and Medicaid) EOB’s and remittances, manually and electronically to both SCC and to the reimbursement database (DAD). Including the reconciling of daily Cash batches back to the deposit totals.
Processes patient accounts to ensure appropriate adjudication, payment, and posting of adjustments/payments.
Forwarding EOB and Insurance remittances to Denial Management Team for review and further action via correspondence coding.
Communicating trends and problems to Supervisor.
Handling NSF (not sufficient funds) check returns by re-depositing and re-posting payments.
Researching credit card “charge backs”, fax responses and re-post payments if needed.
Maintaining EOB and deposit records and files.
Posting payment transfer requests to move and correct payment posting.
Daily, create and complete all Response Posting safety net reports.
Other duties as necessary and delegated by Denial Management/Response Posting Supervisor or Group Leader.

Other

Regularly contacts insurance carriers through telephone calls to work third party accounts receivable, also contacts client offices and patients in the course of resolving third party accounts receivable.
Processes, follows up, takes actions in a timely manner based on working denial and aging reports.
Provides excellent customer service to patients, clients and payers.
Assist the cash posting team with EOB and remittance informational needs and questions, including payment and adjustment interpretation.
Other duties as necessary and delegated by Denial Management/Response Posting Supervisor and Genova Management.
Works closely with all ARBO Teams, insurance payers and other Genova customers.

Supervisory Responsibilities:

This job has no direct supervisory responsibilities but does require close communication with all ARBO teams.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Candidates must have the following skills and attributes: experience in insurance billing and knowledge of CPT and ICD-10 coding; knowledge of medical insurance reimbursement methods and processes; complete understanding of medical necessity and non-covered service; data entry and basic accounting skills; strong analytical skills for problem solving; process oriented problem solver; high level of commitment; and a strong desire for professionalism, quality, and achievement. He/she must be able to communicate effectively with an emphasis on customer service. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

This position requires a high school education. Associates degree in business preferred, relevant work experience will be substitutable for the appropriate candidate. Candidates must have one year of experience in cashiering and refunds application within a Medical Office setting. One year knowledge and experience with posting 3rd party payments and adjustments, manually and electronically. One year knowledge and experience with Insurance EOB interpretation and medical claim reimbursement methods and allowances. Candidates must have a minimum of one year of practical experience in insurance billing and follow-up.

Computer Skills:

To perform this job successfully candidates should be comfortable with standard Windows-based software packages of Word and Excel.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may 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 sit for extended periods of time; use hands to finger, handle, or feel; reach with hands and arms; talk; hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision and ability to adjust focus.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Tuition reimbursement
Vision insurance

Location:

Asheville, NC 28803 (Required)

Work Location: In person

Quick Apply

Refine Your Search

business specialist jobs in mills river nc

Denial Specialist

Inside Sales Specialist

Specialist, Codes & Standards - State Adoption

Training Support Specialist

Relationship Banker Business Specialist

Operations Specialist

Communications Specialist

Economic Development Specialist

FT Administrative Operations Specialist

Development and Marketing Specialist (Advancement - Sales and Client Engagement)

Financial Service Specialist

Timber Specialist

INspire Peer Support Specialist - Cherokee Indian Hospital

Employment Specialist/Job Coach - Fletcher

Sales and Marketing Response Specialist

Technician Marketing Specialist

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