Revenue Cycle Specialist, Primary Care

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Coastal Horizons

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1970

🤝 Non-profit

🧘 Wellness

Healthcare • Non-profit • Wellness

Coastal Horizons is a nationally accredited, non-profit organization dedicated to promoting healthier lives, stronger families, and safer communities through a broad range of effective, evidence-based substance use, mental health, crisis intervention, and wellness services. It serves more than half of the counties in North Carolina, providing critical services such as outpatient treatment for substance use and mental health, crisis intervention, and support for justice-involved individuals. Coastal Horizons is committed to increasing access to these essential services, ensuring that no one is denied assistance due to inability to pay, and fostering an inclusive environment within the community.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• Comprehensive medical, dental, and vision insurance • Educational loan repayment programs • Career growth • Retirement savings plan/401K • Paid time off programs, rollover hours, 14 paid holidays • Employee engagement activities, resource groups, and diversity events