Medical Coding Educator Jobs in North Carolina

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary

Expedites the settlement of insurance claims by submitting accurate claims in a timely manner.

Responsibilities

• Files insurance claims in an accurate, timely manner within 1 day from billed date.
• Paper claims are utilized when necessary.
• 5020’s are obtained and kept on file daily and necessary information is added to accounts for billing purpose.
• Utilizes electronic billing system for submission of claims.
• Transactions are posted correctly to utilize the correct transaction codes.

• Paper claims with appropriate documentation is filed timely.

• Review claims and contract data frequently.

• Verify provider numbers and review regulations & guidelines.
• Follows proper procedure for outpatient accounts.

• Process and respond to correspondence.

• Processes appropriate vouchers and documents.

• Adjustments totals are corrected and verified in both systems timely.
• Appropriate paperwork is forwarded to Finance.
• Denials are worked timely and accurately.
• Accounts are verified for correct reimbursement.
• Resubmits denials within 5 days of posting.
• Payments and adjustments are posted date received.
• Denials are documented.
• Refunds are processed timely.
• Accounts are reclassified to reflect payments/denials for collections activity.

• Monthly refunds are balanced with the General Ledger and the Account Receivable Summary, reports are timely.

• Trace/follow-up on claims accurately.

• Accounts are traced timely and accurately.
• Accounts are documented within the Meditech system.
• All high dollars accounts are reviewed and followed up on in a timely manner.
• Intellect accounts are completed timely.
• Phone, written and electronic inquiries completed with 30 days of billed date.

• Collection letters are utilized within the appropriate time.

• Reconciliation reports are processed & analyzed monthly.

• Total Charges and Payment Variances are reconciled.
• Excel worksheets are utilized for reconciliation.

• Monthly totals are verified for accuracy and corrections are posted in Meditech and/or Cirius.

• Reviews relevant publications.

• Reviews monthly publications.
• Changes are referred to Supervisor.
• Attend seminars as needed.

Education

High school diploma or equivalent required.

Experience

Minimum 1-year experience working with insurance related field preferred. Computer background required. Basic knowledge of Federal and State healthcare regulations required. Knowledge of Manage Care contracting terms, Commercial payors and/or Blue Cross and Blue Shield Contracts and benefits preferred.

LICENSURE/REGISTRATION/CERTIFICATION

None.

OTHER SKILLS AND QUALIFICATIONS

• Excellent organizational and analytical skills required.
• Proficient written and oral communication skills.
• Ability to utilize personal computer and programs, electronic calculator, and other office equipment.
• Strong accounting background and Medical terminology preferred.
• Excellent customer service skills required.
• Knowledge of computer software, Excel, Word, etc.
• Experience with the Meditech computer system desired.

Job Details

Legal Employer: Lenoir Health

Entity: UNC Lenoir Health Care

Organization Unit: Patient Accounting

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: LENOIR MEM

Exempt From Overtime: Exempt: No

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.