High Point University’s Business Office is seeking a Revenue Cycle Billing Specialist. This position is responsible for reviewing, preparing and submitting all insurance claims to the insurance companies in a timely manner. The selected candidate will ensure accurate attachments are submitted with every claim as needed by the type of services being rendered. This position works closely with the credentialing manager, provider, clinical team, front office team, and insurance companies to coordinate efficient patient care and payment for these services. The ideal candidate will also possess excellent communication skills, attention to detail, and the ability to handle sensitive information confidentially.
QUALIFICATIONS
Education :
- High school diploma or equivalent; associate's degree or relevant certification preferred.
Experience and Training :
Proven experience in insurance administration, healthcare, or a related field is advantageous.Knowledge, Skills, Ability :
Dental / Medical billing knowledge along with the ability to communicate with insurance companies, healthcare providers, and clients to gather and verify necessary information to complete timely claim filing.Excellent numerical accuracy and high attention to detail.Ability to work independently with minimal supervision.A solid understanding of the full revenue cycle process is essential.ESSENTIAL FUNCTIONS
Preparation, submission, and tracking of all insurance claimsMonitoring and ensuring timely payments by insurance companiesWorks closely with the revenue cycle payment specialist to review and appeal unpaid and denied claimsMaintains zero backlogs and meet daily / weekly productivity targetsCommunicates with internal billing teams regarding payment trends, anomalies, and payer behaviorEnsures compliance with HIPAA and other federal and state regulationsMaintains up-to-date knowledge of payer policies, medical / dental billing terminology, and payment posting best practicesIdentifies and resolves patient billing complaintsACCOUNTABILITY
Manager of Clinical Revenue Operations CycleEvaluation : Performance is evaluated based on the insurance payments entered daily to ensure operational efficiency and financial performance across clinical practices