Location: Pinehurst, NC

Job Overview

Under the direction of the Practice Manager, handles all in office billing requirements as listed below. Collaborates with Practice Manager to ensure accomplishment of responsibilities and communicates with Manager if trends are found or if additional help as needed with responsibilities.

EDUCATIONAL REQUIREMENTS:

• High school diploma required.

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:

• File and scrub all claims daily before billing
• Make self-pay adjustments & adjust off all AP employee charges before billing
• Set up & post all drafts & Payeezy payments as needed
• Run and post payments on past due balances
• Review verifications & schedules for the following day for patient balances (re-verify
BCBS, Tricare, & Medicaid patients if needed)
• Add and verify all new insurance policies if patients insurance changes
• Call patients if we have any on the schedule a day prior to give breakdown for high
deductible plans and out of pocket costs- including self- pay rates
• Talk with new pts & established pts here for testing & go over patient estimator &
what OOP will be for that day if it applies
• Review & Approve all shot refills
• Pre-collect money for serum being ordered, check balances for patients that are getting
shots out of office to set up payments (since serum will be taken with them)
• Work Claim Rejections in Waystar and refile corrected claims as needed in CPS
• Keep track of Authorizations for Veterans- Send requests for services/auth’s & medical
records
• Send third party liability forms for Tricare patients being denied for testing as needed
• Work report for Pending Management report as well as Office use only reports
• Send delinquent accounts to “Collections/Office approval for bad debt”
• Work on Biologics patients as needed to get the patients on the Copay programs, complete VOA reimbursement forms, help patients to understand & know how to file for reimbursement, post the payments that come in from the Copay programs, help with scheduling to notate copays in charts for current patients coming in to collect with Admin cost and or drug cost at time of service and help to get the old balances paid up for patients on the Copay programs.
• Back up front desk as overflow is needed to answer phone or schedule patients
• Any and all duties as requested or assigned by Practice Manager, Physicians and/or
their designee.

QUALIFICATIONS AND EXPERIENCE:

• Knowledge of CPT and ICD coding
• Basic billing knowledge in a medical office setting
• Ability to perform multiple and diverse tasks simultaneously – with accuracy and
efficiency
• Strong organizational skills
• Able to multi task different tasks to completion
• Good communication skills
• Working knowledge of practice management CPS and electronic health record
software, GE Centricity is a plus
• Proven success asking for payment, making change, and balancing a cash drawer
• Working knowledge of basic managed care terminology and practices
• Proven experience handling challenging patients/customers and dealing with conflict in
elevated/stressful situations.
• Neat, professional appearance
• Strong written and verbal communication skills.
• A “can-do” attitude, willing to accept change & take initiative

More Info

Allergy Partners of Pinehurst
14 Regional Drive
Pinehurst, NC 28374
Hours of operation:
Monday-Thursday, Closed on Fridays!

Contact name
Sue Dinner

Email to apply

sadinner@allergypartners.com

Contact Details

Contact : Sue Dinner

Email : sadinner@allergypartners.com

State : North Carolina

City : Pinehurst

Job ID : 3976