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Job ID: 957923
Facility: Vidant Health
Dept:
Location: Greenville, NC
FT/PT: Full-Time
Shift:
Reg/Temp: Regular
Date Posted: Dec 7, 2022
Vidant Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
Coordinates and directs the daily activities of the Insurance Representatives responsible for follow-up on billed claims for Vidant Health hospitals and SSOP.
Determines professional learning needs of staff and identifies short/long-term goals relevant to position.
Reviews and evaluates daily ATB's, workstations and ADHOC reports to ensure adequate and timely follow up is performed and the workload is equally distributed.
Reviews and approves contractual, administrative and legally unbillable adjustments in accordance with the policy.
Stays current on all of the contractual agreements with third party payers and the affects on claim filing/contract management as it applies to each Vidant Health hospital and SSOP. Liaison for Managed Care reimbursement resolution.
Responsible for hiring, training, scheduling, performance evaluations and time and attendance.
Stays current on the federal, state & local government regulations and the affects on claim filing.
Performs other related responsibilities as required or requested.
Minimum Requirements
High School or higher required with 2 additional years formal education
4 years experience - Third party billing and reimbursement, insurance carriers, on the job training, accounting, or related can be substituted for additional education
Other Information
Insurance Department
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
