Cone Health, SW-Professional Fee BillingCITY:
Exempt: No | FTE: 1.0 (40 hours/week) | Schedule: M-F 8a- 5p | On Call: NOJOB SUMMARY:
Responsible for resolution of all third party payer rejections. Must be able to determine root cause of rejections and determine necessary "next steps" required to resolve error. Must be familiar with follow up processes such as claim correction, appeal processes for third-party payers, electronic claim resubmission processes and calling payers to resolve to investigate denials. Must be able to effectively communicate with other departments such as Coding, Patient Accounting, and Customer Service as needed to resolve issues with accounts. EDUCATION:
Required: Associate's Degree and Coding Certification
Preferred: RHIT or RHIALICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required: Coding Certification - must be maintained
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our team at 866-266-3767 to request an accommodation.