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Accentuate Staffing is recruiting for an Accounts Receivable/Medical Billing Specialist to join a well established company int he Raleigh area.

This position will Review and correct claims based on inquiries from internal and external customers and reports produced in-house. Corrects claims errors and coordinates process for recovering claims payment. Reviews on-line systems daily for follow-up on claims. Coordinates, processes, and audits claims to determine the cause for non-payment and takes corrective action to ensure claims payment. Detects errors and solves problems quickly, maintains positive customer relations, and effectively coordinates work with other departments.

Responsibilities:

• Coordinates, monitors, and manages the follow-up on unpaid claims.
• Monitors aging of claims to ensure timely follow-up and payment.
• Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
• Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
• Responds to inquiries regarding claims with under payment or non-payment.
• Ensures that claims are processed accurately through review and audit functions to ensure timely payment.
• Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment.
• Analyzes common errors to support quality assurance efforts.
• Ensures corrected claims are sent out and monitored for payment.
• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims.
• Maintains a working knowledge and understanding of CPT-4 and ICD-9 codes.
• Prepares routine management reports, quality reports, and special reports as directed by supervisor.
• Communicates collection problems to supervisor and makes recommendations for changes.

Requirements:

•This position requires a high school diploma or GED and 3-5 years claims experience to include one year of data entry.
• An Associate’s degree is preferred and/or years of related experience may be accepted in lieu of degree.
• Strong customer service orientation and excellent written and verbal communication skills are required.