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Appalachian Regional Healthcare (ARH) · 3 weeks ago

Clinic Billing Specialist

Harlan, KY

Full-time

Hybrid

New Grad, Entry Level

0+ years exp

Appalachian Regional Healthcare (ARH) is seeking a Clinic Billing Specialist to manage billing and insurance follow-up functions. The role involves processing insurance claims, handling denials, and ensuring claims resolution while maintaining patient account responsibilities.

CharityHealth CareMedicalNon ProfitOncology

Responsibilities

Promote the mission, vision, and values of the organization

Import charges from queues in a timely manner and append modifiers or any required information for claim transmission

Review daily accounts that are ready to be billed in Waystar from Meditech

Initiate correction on all claims with errors by the designated time

Follow up on any correspondence that may have been received on that day or the previous day

Cross train on billing all lines of business to the different payers

Pull listing of all accounts assigned to be follow up by specific payer

Diagnostic and procedural coding

Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies

Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims

Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts

Maintain accounts receivable detail of their accounts through tasking

Maintains standards per payer for percentage accounts > 90 days

Works minimum standard number of accounts per payer per day

Meets or exceeds collection goals by payer each month

Works all assigned accounts as assigned, depending on balance

Complete appeals as required

Participates in educational activities and attends monthly department staff meetings

Maintains confidentiality: adheres to all HIPAA guidelines/regulations

Other duties as assigned from time to time

Attend educational activities and monthly department staff meetings

Perform other duties as assigned

Qualification

Insurance claim processingHCFA claim formsDiagnostic codingProcedural codingCPT codingICD-9 codingMedical terminologyComputer proficiencyCustomer serviceTyping speedWritten communicationVerbal communication

Required

High School Diploma or GED

Basic computer proficiency

Typing speed: minimum 40 WPM

Good written and verbal communication skills are essential for account follow-up

Preferred

Six months previous experience in clinic registration, billing and collections, financial counseling, or customer service

Knowledge of medical terminology

Familiarity with CPT and ICD-9 coding

Company

Appalachian Regional Healthcare (ARH)

Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty and Whitesburg in Kentucky; as well as Beckley and Hinton in West Virginia, as well as multi-specialty physician practices, home health agencies, home medical equipment stores and retail pharmacies.

Founded in 1956

Barbourville, Kentucky, USA

5001-10000 employees