Account Reimbursement Specialist II
On-siteCharlotte, North Carolina, United States
Job Summary
Process daily billing activities to ensure successful claim payment by verifying patient benefits, eligibility, and coverage. Audit claim completeness and accuracy before submission, then resolve payer edits and rejections through necessary corrections. Manage patient cases via phone or written communication, process virtual payments, and handle refund requests, bankruptcy notifications, and collection reconciliations. Maintain HIPAA compliance while reporting billing changes and process improvements to leadership. Full-time Monday through Friday, 8 am to 5 pm. Requires two years of complex claim follow-up experience and knowledge of ICD-10 and CPT codes.
Required Qualifications
- Minimum of two (2) years of complex claim follow-up experience in a physician office, hospital, ambulatory surgery center or centralized medical business office
- Knowledge of medical terminology, ICD-10, and CPT codes
- Excellent computer skills
- Intermediate skill with Microsoft Word, Outlook, and Excel
- Experience working within EMR systems
- Experience interpreting payor explanation of benefits
- Excellent verbal communication skills
- Strong customer-service background
- Ability to manage time and organize daily schedule to meet productivity and accuracy standards
- High school diploma or equivalent
- Must be able to lift and support weight of 35 pounds
- Ability to concentrate on details
- Use of computer for long periods of time
Desired Qualifications
- Associate degree in business, healthcare administration or related field
- Experience with AthenaHealth EMR
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