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Pro Fee Claim Specialist II

Job ID: 8995
Facility: Cone Health
City: Greensboro

Date Posted: 2019-06-19 06:13:17 UTC
2019-06-19 06:13:17 UTC

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Job Description

LOCATION: Cone Health, SW-Pro Fee Billing
CITY: Greensboro

JOB DETAILS:
Exempt: No | FTE: 1.0 (40 hours/week) | Schedule: M- F 8:00 - 5:00 | On Call: NO

JOB SUMMARY:
Monitors the volume and accuracy of Pro Fee claims and revenue cycle processes by monitoring workqueues for increased volume of rejections, denials or other unfavorable trends. Analyze results to identify if issues are user related, system related or payer related. Communicated with Central Billing Office leadership, vendors and IT any identified issues that may improve efficiency and maximize the accuracy of claims submissions.


EDUCATION:
High School Diploma or equivalent, Required
Associates, Preferred in Business or Healthcare; RHIT preferred


EXPERIENCE:
Minimum 3 years' experience, Required*
5+ years of experience, Preferred**
*Require minimum 3 years in a professional fee billing environment and/or physician practice operations.
**Prefer 5 + years in a medical/insurance environment for physician/professional billing revenue cycle.

Epic experience preferred.

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.
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