Top 3 Document coder Jobs in Norfolk, Va

Credit Resolution Specialist
Childrens Hospital of The Kings Daughters —Norfolk, VA
- $17.86 - $26.79 an hour
- Full-time
- Office
- High school diploma or GED
- Organizational skills
Insurance Specialist II
Regional Business Office (MIDA) —Norfolk, VA
- $22 - $26 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
12d

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Insurance Specialist II
Regional Business Office (MIDA) —Norfolk, VA
Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering…
$22 - $26 an hour
12d
Accounts Receivable Specialist II
Sentara Hospitals —Norfolk, VA
Retirement funds with matching contribution. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee…
Quick Apply

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Outpatient Medical Coder 3
The Ohio State University —Columbus, OH
Required: 3 years’ acute care academic medical center outpatient coding experience within an academic Health Information Management department for service types…
Inpatient Medical Coder 2
The Ohio State University —Columbus, OH
Candidates hired without a credential will not receive credit in their initial salary quote for the credential. 1 year of relevant experience required.

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Credit Resolution Specialist

Childrens Hospital of The Kings Daughters -
Norfolk, VA

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Job Details

Full-time
$17.86 - $26.79 an hour

Qualifications

Customer communication
Medical claims
Medical insurance coverage verification
Medical coding
Handling customer inquiries
High school diploma or GED
Document review
Document imaging
Productivity software
Grammar Experience
Medical terminology
Hospital experience
Credit analysis

Full Job Description

GENERAL SUMMARY
- The Credit Resolution Specialist is responsible for monitoring and resolving accounts in a credit status assigned in their work queue. This role analyzes the account, confirms current charges have been properly adjudicated, and verifies that the payment by the payer and patient is accurate. Reports to department manager.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Maintains compliance related to government payers by analyzing the account and taking the required action to resolve the credit.
- Analyzes account to determine the credit reason.
- Utilizes payer remits, payer websites, the billing system and other resources to determine the reason and action required.
- Ensures, if two payers are involved, the correct primary/secondary payment is on file for each payer.
- Updates insurance information based on new information obtained, and request claim submission for new payer.
- Enters and applies adjustments up to $1,000. Submits request for adjustments greater than $1,000 for approval and processing.
- Enters refunds to patient/parent/guarantor or payer up to $3,000. Submits request for refunds greater than $3,000 for approval and processing.
- Audits specified accounts in a credit status.
- Performs other duties as assigned.
LICENSES AND/OR CERTIFICATIONS
- None required
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
- High school diploma or equivalent required.
- Minimum of one year credit resolution, customer service and document imaging acquired in a hospital patient account department, physician office or medical services organization.
- Experience with credit resolution functions from investigation, review and determination.
- Must have experience with third party payer insurance processes from verification, billing, coding and medical terminology.
- Ability to effectively gather and exchange information in both oral and written communication with proper grammar, spelling and punctuation.
- Experience in working in a high volume environment with specific deadlines to accomplish task.
- Strong computer skills with experience utilizing MS Office suite required.
WORKING CONDITIONS
- Normal office environment with little exposure to excessive noise, dust, temperature and the like.
PHYSICAL REQUIREMENTS
- Click here to view physical requirements.

#CHKDHP

Location: Childrens Hospital of The Kings Daughters · Patient Financial Services PFS
Schedule: Full-Time, Days, M-F

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