Revenue Cycle Specialist, Primary Care

JOB TITLE: Revenue Cycle Specialist, Primary Care

SCEDULE: Full-Time Position

LOCATION: Remote; Must live 1hr within Wilmington

Position Summary

Coastal Horizons Center, Inc. has an opportunity for a Revenue Cycle Specialist to join our Revenue Cycle Department. The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts receivable management including charge entry, coding, and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability specific to our Primary Care department.

Primary Duties/Responsibilities

• Review clinical documentation for accuracy and ensure proper coding prior to processing electronic claims.
• Communicate and educate providers and/or managers when coding errors are identified and/or when payer requirements change as it relates to coding.
• Collaborates with Billing Manager and AR Manager to identify insurance denial trends and other issues resulting in non-payment and discuss how to reduce denials
• Collaborate with Manager to build and/or update the billing/coding and resource manuals specific to Primary Care services.
• Collaborate with the Patient Access Specialist to reconcile client accounts with eligibility related issues.

Qualifications

• Associates or Bachelors Degree with and/or 2-3 years’ experience related to responsibilities specified in a Primary Care setting
• CPC certification required
• Knowledge of billing concepts, practices, and procedures specific to Primary Care
• Experience with health care billing systems (preferably Welligent experience).
• Experience with reviewing clinical documentation to apply CPT and ICD-10 codes for billing purposes
• Strong understanding of Revenue Cycle
• Basic computer skills including Office 365, Teams, and Excel
• Experience with North Carolina Medicaid

COMPENSATION: Commensurate with education and experience. Coastal Horizons Center offers available medical/dental benefits, life insurance, long and short-term disability insurances, 401K retirement savings plan, and generous paid time off programs.

Salary & Benefits

• Competitive salary based on experience
• Comprehensive medical, dental, and vision insurance
• Educational loan repayment programs & Career growth
• Retirement savings plan/401K
• Paid time off programs, rollover hours, 14 paid holidays
• Employee engagement activities, resource groups, and diversity events

How To Apply

Interested candidates should submit their resume and cover letter through our Careers Page. If you require an accommodation during the application process, please contact us at ***email_hidden***.

We look forward to reviewing your application!

EEO STATEMENT

Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.

PLEASE SEND RESUME & COVER LETTER TO: (NO PHONE CALLS PLEASE)

COASTAL HORIZONS CENTER, INC.

615 SHIPYARD BLVD.

WILMINGTON, NC 28412

ATTN: Billing Specialist

Fax: 910-790-0189

Email: ***email_hidden***