Responsible for monitoring and researching in‑house cases, mitigating denials, ensuring clean claims, and managing appeals and collections for high balance cases.
Compensation
$19.65 - $32.75
Responsibilities
Monitor and research in‑house and discharged not final billed reports
Ensure claims are clean before billing
Work with Clinical Resource Management to reflect correct clinical level of care
Follow up with insurance carriers for timely reimbursement
Investigate and report reasons for non‑payment and delays
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions.
Locations (2)
Holly Springs, North Carolina, United States
Durham, North Carolina, United States
Compensation
*** DUHS Commitment Bonus Program $5000.00 (paid in 2 installments over 12 months - 6 month increments) ***
Responsibilities
Analyze insurance coverage and benefits for service to ensure timely
Obtain authorizations based payment on insurance plan contracts and guidelines
Document billing system
Explain bills provides assistance to visitors and patients
Explain policies and departmental coverage as requested
