JOB TITLE: Revenue Cycle Specialist, Primary Care
SCEDULE: Full-Time Position
LOCATION: Remote; Must live 1hr within Wilmington
Coastal Horizons Center, Inc. has an opportunity for a Revenue Cycle Specialist to join our Revenue Cycle Department. The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts receivable management including charge entry, coding, and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability specific to our Primary Care department.
PRIMARY DUTIES/RESPONSIBILITIES:
Review clinical documentation for accuracy and ensure proper coding prior to processing electronic claims.
Communicate and educate providers and/or managers when coding errors are identified and/or when payer requirements change as it relates to coding.
Collaborates with Billing Manager and AR Manager to identify insurance denial trends and other issues resulting in non-payment and discuss how to reduce denials
Collaborate with Manager to build and/or update the billing/coding and resource manuals specific to Primary Care services.
Collaborate with the Patient Access Specialist to reconcile client accounts with eligibility related issues.
QUALIFICATIONS:
Associates or Bachelors Degree with and/or 2-3 years’ experience related to responsibilities specified in a Primary Care setting
CPC certification required
Knowledge of billing concepts, practices, and procedures specific to Primary Care
Experience with health care billing systems (preferably Welligent experience).
Experience with reviewing clinical documentation to apply CPT and ICD-10 codes for billing purposes
Strong understanding of Revenue Cycle
Basic computer skills including Office 365, Teams, and Excel
Experience with North Carolina Medicaid
COMPENSATION: Commensurate with education and experience. Coastal Horizons Center offers available medical/dental benefits, life insurance, long and short-term disability insurances, 401K retirement savings plan, and generous paid time off programs.
SALARY & BENEFITS:
HOW TO APPLY:
Interested candidates should submit their resume and cover letter through our Careers Page If you require an accommodation during the application process, please contact us at jobs@coastalhorizons.org
We look forward to reviewing your application!
EEO STATEMENT
Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
PLEASE SEND RESUME & COVER LETTER TO: (NO PHONE CALLS PLEASE)
COASTAL HORIZONS CENTER, INC.
615 SHIPYARD BLVD.
WILMINGTON, NC 28412
ATTN: Billing Specialist
Fax: 910-790-0189
Email: jobs@coastalhorizons.org
The mission of Coastal Horizons is to promote choices for healthier lives, stronger families, and safer communities. We are the largest private, non-profit human service organization in southeastern North Carolina. With over 600 employees, we serve over half the counties in North Carolina. Nationally accredited by CARF, Coastal Horizons provides a broad range of evidence-based professional services. These include substance use, mental health, crisis intervention, family preservation, transitional living, school-based health, primary care, justice, and veteran services. From addressing the needs of an adult dealing with opioid dependence, a counselor responding to a sexual assault call at the hospital, a child in need of safe shelter and/or psychiatric services, to providing care management to an individual recently released from incarceration, Coastal Horizons is uniquely equipped to ensure public health stability.
