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Finance Representative jobs at WakeMed - 62 jobs
Senior Financial Planning and Analysis Professional
Humana
Raleigh, NC jobs
**Become a part of our caring community and help us put health first** TThe Senior Financial Planning and Analysis Professional collects, compiles and is responsible for analyzing multiple sources of data to identify emerging trends or gaps in expectations of the financial performance for the WI Medicaid segment. Analyses will help define efforts to mitigate claims costs or optimize top line revenue, working in partnership with key functional areas such as clinical, provider development, and operations. The Senior Financial Planning and Analysis Professional work assignments involve moderately complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This work may involve financial modeling and reporting and may support inputs used in the financial budget and forecasting models. Begins to influence department's strategy. Makes decisions on moderately complex issues regarding technical approach for project components, and work is performed with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree in Finance, Accounting or a related field + 5 or more years experience in finance/accounting or related field + Comprehensive knowledge of all Microsoft Office applications, and Access, SQL, and multi-dimensional databases + Ability to manage multiple priorities + Experience with financial analysis + Strong analytic skills with attention to details + Excellent oral and written communication skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences and growth in the market **Preferred Qualifications** + Master's Degree in Business Administration or a related field + Previous health insurance industry experience + Experience with SAS or other relational databases + Experience working with large data sets + Medicaid or Medicare experience **Additional Information** Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************$86.3k-118.7k yearly 14d agoRevenue Cycle Financial Representative
UNC Health Care Systems
Chapel Hill, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. * Bilingual is preferred but not required. Position is based at the UNC Main Campus (101 Manning Drive, Chapel Hill, with some work at an offsite office in Chapel Hill, NC. Summary: Responsible for performing a variety of complex pre-services, financial counseling and customer service-related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services. Responsibilities: 1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements. 2. Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service. 3. Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections. 4. Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available. 5. Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins. 6. Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines. 7. Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general's office and attend/participate in hearings when needed. 8. Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, clinics to address any patient concerns Other Information Other information: Education Requirements: ● High school diploma or GED. Licensure/Certification Requirements: ● No licensure or certification required. Professional Experience Requirements: ● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections). Knowledge/Skills/and Abilities Requirements: ● Excellent interpersonal, verbal and written communication skills. ● Excellent listening skills, and organizational skills. ● Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation. ● Intermediate knowledge of CPT and ICD-9 codes. ● Advanced knowledge of insurance billing, collections and insurance terminology. ● Ability to work in fast pace environment and prioritize and manage multiple tasks. ● Healthcare terminology. ● Customer Service skills. ● Computer knowledge: MS Word, Excel, and Outlook. ● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus. Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Financial Counseling Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.66 - $26.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC: Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.$18.7-26.5 hourly 60d+ agoFinancial Reporting Professional 2
Humana
Raleigh, NC jobs
**Become a part of our caring community and help us put health first** The Financial Reporting Professional 2 prepares and distributes periodic financial statements. The role requires data driven technical skills to support process improvement. The Financial Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This role is suited for a technically capable reporting professional who can work directly with data, understand end to end reporting flows, and exercise sound judgement within established accounting and organizational guidelines to deliver accurate and timely financial information. Individual will own assigned reporting processes and schedules within the financial reporting team with accountability for data readiness, documentation and adherence to filing requirements/timelines. The individual will partner with finance, accounting and engineering teams on broader automation and efficiency initiatives. The role requires the ability to implement basic technical solutions including revising SQL queries and modifying lightweight automation solutions. Advanced system development is NOT required **Key responsibilities** + Contribute to light automation and workflow improvements while partnering with technical resources for more complex development. + Maintain reporting calendars and filing schedules for regulatory submissions. + Coordination with Compliance to ensure deadlines are tracked and met across multiple states and programs + Support financial and regulatory reporting through accurate execution of reporting process + Post journal entries and perform data reconciliations across source systems and the general ledger + Load, validate and maintain reporting data tables + Operate as business owner for existing tools including coordination of inputs, validation of outputs, and design changes + Ensure compliance with internal controls and regulatory requirements + Analyze data flows and identify opportunities to improve accuracy, efficiency and automation + Collaborate with cross functional partners on finance and accounting initiative + Write and modify basic SQL queries and support data validation and troubleshooting **Use your skills to make an impact** **Required Qualifications** + Undergraduate degree with emphasis in Finance, Accounting, Data Analytics or related field + 3 years of experience in accounting/finance department + Basic understanding of SQL and Microsoft Power Platform + Intermediate Excel + Strong analytical and problem-solving capabilities + Experience supporting or improving financial reporting processes + Working knowledge of general ledger and financial statement preparation + Ability to work independently and exercise sound professional judgment **Preferred Qualifications:** + Healthcare insurance experience, including CMS and MLR ( **Medical Loss Ratio)** reporting requirements + Experience building apps on Microsoft Power Platform (Power BI, Power Apps, Power Automate, SharePoint) + Advanced SQL and/or VBA Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-29-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************$71.1k-97.8k yearly 14d agoFinancial Advisor II
Baylor Scott & White Health
Raleigh, NC jobs
The Financial Advisor II serves as a key financial resource on the corporate Financial Planning & Budgeting team and provides financial analysis required to support the goals and objectives of Baylor Scott and White (BSWH). **SALARY** The pay range for this position is $77,688/year (entry level qualifications) - $120,411.20/year (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Provides financial analysis to and serve as support for system leadership, regional and entity financial officers, and others as directed or required, to assist in the efficient and cost-effective operation of BSWH. Develops ad hoc and ongoing reporting as required/requested, utilizing BSWH systems which include Syntellis Axiom and Power B Produces reporting, including presentations, for annual operating budget, 5-year financial planning, current year rolling projection, and all other processes overseen. Conducts finance training for BSWH personnel as directed. Understands financial operations and works with all levels of finance, clinical management/personnel to ensure the accuracy of the analysis. Maintains professional growth through participation in educational programs and professional organizations and activities to maintain knowledge of current trends, practices, and developments. **KEY SUCCESS FACTORS** Healthcare finance experience (Particularly Hospital/Clinic Experience) Experience in financial planning and Budgeting Self-starter and able to work independently with minimal supervision Strong analytical abilities and presentation skills Intermediate to advanced excel skills Experience with enterprise financial systems (Syntellis Axiom experience preferred) Experience with data visualization software (Power BI experience preferred) **BENEFITS** - Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 _Note: Benefits may vary based upon position type and/or level_ **QUALIFICATIONS** + EDUCATION - Bachelors Degree + EXPERIENCE - 3 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.$77.7k-120.4k yearly 60d+ agoCS Representative 1
Genova Diagnostics
North Carolina jobs
The Client Services Representative is responsible for all aspects of follow-up on each client telephone and electronic encounter. This includes answering incoming and making outgoing calls to physicians, staff and patients, as well as responding to electronic requests. The CSR will work closely with Sales and Marketing staff on relationship building for all company accounts. The CSR works with the department staff and supervisor to assure a high standard of customer service. Also assumes a proactive role for client education. Essential Duties and Responsibilities: Responsibilities include but are not limited to the following: Handle incoming calls as a priority, maintaining customer service levels as decided by the company. Explore with physicians and their staff whether products match the scope of physician practice. The CSR follows through with placing appropriate orders for sample collection supply kits and educational material. Educates physicians/staff about tests. The CSR is required to familiarize themselves with symptoms supporting, and treatment for, tests offered by the company. Patient specific cases must be referred to the Medical Education Team. Understand and explain to physicians and/or staff the impact of interfering substances on particular components within test profiles. Assist physicians and staff in determining whether a sample is adequate and/or appropriate for testing by understanding laboratory sample requirements and standards for sample acceptance. Record incident/complaints, and will research problems, and exercise solutions, thoroughly documenting each incident to ensure accountability. The CSR is an active participant in preventing negative issues from recurring. Must be knowledgeable and remain up to date on company billing policies and procedures, Medicare rules and regulations, state limitations of payment options, health care practitioner licensing limitations, and company licenses and accreditation. Utilizes various resources for supporting the benefits of company tests, including Internet sites, reference articles and journal publications. Other Develops and constantly improves human relations skills to serve internal and external clients. Maintains accurate information on client accounts and documents in appropriate systems. The CSR will serve as a primary source for client information. Attends department meetings, and serves on committees/teams as appropriate. Submits periodic summaries of special projects to the supervisor. Within the department, the CSR reports to the Client Services Assistant Manager/Manager. In routine follow-up and troubleshooting reports, they will interact directly with all company departments, specifically through other supervisors and group leaders.$28k-38k yearly est. 23d agoAdvisor, Finance Operations
Cardinal Health
Raleigh, NC jobs
**_What Finance Operations contributes to Cardinal Health_** Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets. Finance Operations is responsible for the oversight and overall performance of the following core financial processes. This includes pricing administration, rebates, cash application, chargebacks, billing, accounts payable and employee travel & expense. **_Responsibilities_** + Ensure GPO Admin Fees and Rebates are set up in SAP based on the Rebate Instruction Document; perform reconciliation reviews to ensure completeness and accuracy of rebate and admin fee set up + Create and schedule Rebates and GPO Admin Fee reporting in Business Objects for customer transparency + Partner with Account Management and Standards & Compliance teams to ensure customers are prioritized and addressed accurately and in a timely manner + Work with Manager on more complicated customer setup activities + Investigate issues by conducting thorough root cause analysis; establish preventative measures to avoid recurring issues + Maintain and enhance internal SOX control structure + Identify and implement process improvement initiatives while enhancing standardization across areas + Collaboration between across the organization to properly account for transactions, including but not limited to Sales/Account Management, Legal, Finance, Pricing, Accounting, Contracting and Revenue Management **_Qualifications_** + Bachelor's degree in related field, or equivalent work experience, preferred + 3-8 years of experience in related field preferred, including but not limited to Finance, Audit, or Accounting preferred + Strong experience with MS Excel + Knowledge with SAP, Legal Contracts, and Revenue Recognition standards, preferred + Business Objects experience a plus **_What is expected of you and others at this level_** + Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects + May contribute to the development of policies and procedures + Works on complex projects of large scope + Develops technical solutions to a wide range of difficult problems + Solutions are innovative and consistent with organization objectives + Completes work; independently receives general guidance on new projects + Work reviewed for purpose of meeting objectives + May act as a mentor to less experienced colleagues **Anticipated salary range:** $67,500-$96,300 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 02/13/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. \#LI-Remote \#SP-1 _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************$67.5k-96.3k yearly 45d agoRevenue Cycle Representative
UNC Health Care Systems
Chapel Hill, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Responsible for performing a variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle follow-up and collections. Requires substantial knowledge of all carrier policies, procedures and practices necessary to collect carrier accounts receivable and resolve credits. Participates and assists in special projects. Perform all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: * Performs complex credit analysis. * Resolve credits through generating refunds and/or posting adjustments in accordance with UNC-H policies and procedures while maintaining rigorous quality and productivity standards. * Research and rework returned refunds. * Mail refunds to various insurance carriers, payers and patients. * Ensure charges are entered/posted for billing in accordance with the patient's chart. * Ensure proper posting/distribution of patient payments. * Analyze/Manage patient account for overpayments. * Locate missing patient payments. * Manage and maintain pre-payments for OB, Ortho surgery, DME and circumcision accounts as well as OPTH, Bariatric and ELP/Cosmetic case rate agreements. * Verify eligibility using various resources: Payer websites, calls to carriers and patients. * Manage Medicaid overpayments via the NC Tracks website. * Manage Medicare overpayments via E-services (Medicare website). * Analyze Transplant accounts to confirm overpayments * Ensure Agency payments (NAF/Worker's Comp./Organ Procurement) are posted correctly Other Information Other information: Education Requirements: ● High School Degree Licensure/Certification Requirements: Professional Experience Requirements: ● Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections) Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Cash Management Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $18.12 - $25.51 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.$18.1-25.5 hourly 8d agoRevenue Cycle Representative
UNC Health Care Systems
Chapel Hill, NC jobs
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. * Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. * Works physician claims ("professional billing"). * Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. * ·Performs all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy. Job Responsibilities: * Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, other methods. * Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. * Submit requested medical information to insurance carrier. * Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues. * Access, review and respond to third party correspondence. * Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. * Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods. * Verify claims adjudication utilizing appropriate resources and applications. * Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims. * Respond to any assigned correspondence in a timely, professional, and complete manner. * Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. * May maintain data tables for systems that support PB Claims operations. * Evaluate carrier and departmental information and determines data to be included in system tables. * Read and interpret EOB's (Explanation of Benefits). * Maintain basic understanding and knowledge of health insurance plans, policies and procedures. * Accurately and thoroughly document the pertinent collection activity performed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. * Meet/Exceed Productivity and Quality standards. Other Information Other information: Education Requirements: ● High School Degree Licensure/Certification Requirements: Professional Experience Requirements: ● Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections) Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Physician Ins Billing and Foll Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $17.94 - $25.25 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.$17.9-25.3 hourly 24d agoRespiratory Anesthesia Representative-Raleigh, North Carolina
Fisher & Paykel Healthcare Corporation Limited
North Carolina jobs
About Fisher & Paykel Healthcare At Fisher & Paykel Healthcare, our dedication unites us in a shared mission to improve patient care and outcomes through world-leading healthcare solutions. We call this commitment Care by Design. Our journey began in New Zealand over five decades ago when a visionary doctor and two ingenious engineers pioneered a new approach to respiratory health. Today, we are a leading designer, manufacturer, and marketer of products and systems for acute and chronic respiratory care, anesthesia, and the treatment of obstructive sleep apnea. Our innovative products touch the lives of millions of patients annually while operating in over 120 countries worldwide. We seek individuals who are passionate about having a lasting, positive impact. We value individuals who prioritize enduring relationships and creative thinking and who are driven to make a difference. In return, we will support your personal and professional growth with our inclusive work environment, built on a foundation of care and collaboration. Together, we form a team of compassionate individuals dedicated to purposeful work. Care to join us and make a real impact? Job Title: Respiratory Anesthesia Representative-Raleigh, North Carolina (please see map for territory perameters). Job Overview: As a Respiratory Anesthesia Representative, you will promote and sell our proprietary heated humidification products for use in hospital operating rooms and procedural areas in the assigned territory. You will become a trusted clinical advisor providing education and technical support to anesthesiologists, CRNAs, physician specialists, and other healthcare professionals. Candidates must reside in the greater Raleigh area. Care to join us? Apply today and join our dynamic Fisher & Paykel Healthcare team! You will be a part of a culture motivated by transforming clinical practice and improving patient care and outcomes. Responsibilities: * Develop sales and territory management plans with the sales manager to achieve maximum market impact and meet or exceed sales targets * Develop, cultivate, and maintain relationships with customers and strategic partners within the territory * Identify potential hospitals and surgery centers through lead generation and strategic prospecting * Conduct customer visits to introduce FPH hospital products, therapy approaches, and their benefits * Serve as the product expert, providing in-serving and education to anesthesiologists, CRNAs, physician specialists, and other healthcare professionals * Install and execute evaluations of FPH hospital products in the operating room and procedural suites with post-sales education and support * Maintain and grow existing accounts while securing new business opportunities * Disciplined use of CRM/Salesforce to track opportunities, sales and monitor results * Attend trade shows and conventions to provide information and education on FPH hospital products * Must be able to lift a maximum of 40 pounds without limits or restraints Education and Experience Requirements: * Experience in managing a large territory * Bachelor's degree preferred * 1-2 years of sales experience with a consistent track record of success, preferably in a business-to-business selling model * Medical device sales, preferably in the OR, are preferred but not required * Excellent communication, planning, organizational, and problem-solving skills * Ability to evaluate business opportunities, set priorities, and manage a large territory * Anesthesia Technologist OR Registered Nurse a plus * Up to 30% overnight travel Salary Range: The anticipated salary range for candidates working in this territory is $123,000 to $134,000 (base + commission). The final salary offered to a successful candidate will depend on several factors, including, but not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Fisher & Paykel Healthcare is a multi-state employer, and this salary range may not reflect positions in other states. In return, we will offer you an opportunity to work as part of a dedicated and energetic team at a company with a fantastic culture of commitment to our employees and customers. You'll have an opportunity to participate in a comprehensive benefits package that offers medical, dental, vision, life insurance, paid parental leave, 401k, employee stock purchase plan, and other options to meet the diverse needs of our employees. US work authorization is a precondition of employment. Fisher & Paykel Healthcare will not consider candidates who require sponsorship for a work-authorized visa. Company relocation benefits will not be provided for this position. You will be required to visit your customers. To be granted access, you must comply with each healthcare facility's policies, including submitting to a background screen, vaccination for COVID-19 and the flu, providing copies of immunization records, or meeting other health requirements. You will also attend conferences, meetings, and trade shows and must comply with each host's requirements to attend these in-person events. Fisher & Paykel Healthcare is an equal opportunity employer. The Company's policy is not to discriminate nor allow any employee to discriminate against any employee or applicant for employment based on race, color, age, religion, sex, national origin, disability, marital status, military status including veterans and disabled veterans, or any other protected status in accordance with all applicable federal, state, and local laws. Fisher & Paykel Healthcare participates in E-Verify. Global Privacy Statement | Fisher & Paykel Healthcare (fphcare.com) Reasonable Accommodations As an Equal Opportunity Employer, Fisher & Paykel Healthcare is committed to providing reasonable accommodation to applicants with disabilities. If you are interested in applying for employment with Fisher & Paykel Healthcare, and need special assistance or an accommodation to use our website, please contact us at ******************* When contacting us please provide your contact information and the nature of your accessibility issue. We will only respond to requests for reasonable accommodations. * EEOC - Know Your Rights$37k-51k yearly est. 20d agoAccreditation Representative
UNC Health Care
Rocky Mount, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing. Summary: The Accreditation Representative is responsible for assuring compliance with the American College of Surgeons Commission on Cancer (ACS CoC) Standards. This role is critical to maintaining accreditation readiness and supporting oncology program excellence. Key responsibilities include managing Tumor Board Conferences, which occur on an alternating schedule of two conferences one week and three conferences the following week, managing Cancer Committee, and overseeing the processing and follow-up of referrals to other specialties/imaging as requested by oncologists. The position requires strong organizational skills, attention to detail, and the ability to collaborate effectively across departments to support high-quality cancer care delivery. Responsibilities: 1. Accreditation Compliance: Ensures all ACS CoC Standards are met for accreditation. Leads survey preparation at the facility, including completion of the Program Application Record (PAR), Survey Application Record (SAR), and surveyor documentation. 2. Cancer Committee Support: Coordinates and facilitates all Cancer Committee Meetings to ensure compliance with CoC accreditation standards. Responsibilities include scheduling meetings, preparing agendas, ensuring attendance of required multidisciplinary members, recording minutes, and maintaining documentation. Assists with the completion of the Cancer Program's Annual Report. 3. Tumor Board Coordination & Evaluation: Serves as the Cancer Conference/Tumor Board Coordinator, facilitating all conferences by managing scheduling, agendas, collection of patient documents and imaging, and documentation of case outcomes. Monitors, evaluates, and analyzes all Tumor Board activities, including attendance, case presentations, and ensuring staging and prognostic indicators are thoroughly discussed. 4. Education & Training: Attends state and national educational activities as approved by the director. Participates in required continuing education programs to maintain knowledge of accreditation standards and oncology program requirements. 5. Referral Management: Monitors and processes internal and external referrals requested by oncologists, ensuring timely coordination with other specialties. 6. Additional Duties: This job profile is intended to provide a representation of responsibilities required. Employees may be requested to perform job-related tasks other than those specifically presented in this profile. Other information: **Education Requirements:** - High School Diploma required; AA/AS degree preferred, in healthcare administration, public health, or related field **License/Certification Requirements:** **Experience Requirements:** - 2-3 years of experience in a healthcare setting, preferably in compliance, oncology, or quality management - Strong organizational and communication skills - Ability to manage multiple priorities and deadlines - Familiarity with healthcare regulations and accreditation processes - Proficiency in Microsoft Office Suite and data management tools **Preferred Skills** - Experience coordinating medical conferences or committees - Knowledge of ACS CoC accreditation standards - Ability to work independently and collaboratively in a fast-paced environment - Strong attention to detail and problem-solving skills **Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Nash Cancer Center Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: NASH HC Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.$32k-37k yearly est. 50d agoAccreditation Representative
UNC Health Care Systems
Rocky Mount, NC jobs
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing. Summary: The Accreditation Representative is responsible for assuring compliance with the American College of Surgeons Commission on Cancer (ACS CoC) Standards. This role is critical to maintaining accreditation readiness and supporting oncology program excellence. Key responsibilities include managing Tumor Board Conferences, which occur on an alternating schedule of two conferences one week and three conferences the following week, managing Cancer Committee, and overseeing the processing and follow-up of referrals to other specialties/imaging as requested by oncologists. The position requires strong organizational skills, attention to detail, and the ability to collaborate effectively across departments to support high-quality cancer care delivery. Responsibilities: 1. Accreditation Compliance: Ensures all ACS CoC Standards are met for accreditation. Leads survey preparation at the facility, including completion of the Program Application Record (PAR), Survey Application Record (SAR), and surveyor documentation. 2. Cancer Committee Support: Coordinates and facilitates all Cancer Committee Meetings to ensure compliance with CoC accreditation standards. Responsibilities include scheduling meetings, preparing agendas, ensuring attendance of required multidisciplinary members, recording minutes, and maintaining documentation. Assists with the completion of the Cancer Program's Annual Report. 3. Tumor Board Coordination & Evaluation: Serves as the Cancer Conference/Tumor Board Coordinator, facilitating all conferences by managing scheduling, agendas, collection of patient documents and imaging, and documentation of case outcomes. Monitors, evaluates, and analyzes all Tumor Board activities, including attendance, case presentations, and ensuring staging and prognostic indicators are thoroughly discussed. 4. Education & Training: Attends state and national educational activities as approved by the director. Participates in required continuing education programs to maintain knowledge of accreditation standards and oncology program requirements. 5. Referral Management: Monitors and processes internal and external referrals requested by oncologists, ensuring timely coordination with other specialties. 6. Additional Duties: This job profile is intended to provide a representation of responsibilities required. Employees may be requested to perform job-related tasks other than those specifically presented in this profile. Other information: Education Requirements: * High School Diploma required; AA/AS degree preferred, in healthcare administration, public health, or related field License/Certification Requirements: Experience Requirements: * 2-3 years of experience in a healthcare setting, preferably in compliance, oncology, or quality management * Strong organizational and communication skills * Ability to manage multiple priorities and deadlines * Familiarity with healthcare regulations and accreditation processes * Proficiency in Microsoft Office Suite and data management tools Preferred Skills * Experience coordinating medical conferences or committees * Knowledge of ACS CoC accreditation standards * Ability to work independently and collaboratively in a fast-paced environment * Strong attention to detail and problem-solving skills Job Details Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Nash Cancer Center Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: NASH HC Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.$32k-37k yearly est. 50d agoResupply Representative
Promptcare
Concord, NC jobs
PromptCare is seeking a highly motivated and skilled Resupply Representative to join our team. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our clients in the respiratory and enteral nutrition industry, specifically in disposable supplies. The Resupply Representative processes inbound orders from our referral sources and requests for assistance from our patients through a variety of mediums, including inbound and outbound client calls, faxes, e-mails, and online ordering portals. The successful candidate must be proficient in all phases of insurance data collection, verification, and authorization. If you are a self-starter with a passion for providing exceptional customer service, we encourage you to apply for this exciting opportunity. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion Job Type: Full-Time, 40 hours per week, Mon-Fri Job Location: Hybrid out of Concord, NC Requirements High School Diploma or equivalent. Associate degree or some college preferred Work experience in a Respiratory Home Durable Medical Equipment company Must have strong PC skills, especially the MS Office suite Job Responsibilities, included but not limited to: Accurately and efficiently process Durable Medical Equipment (DME) sales orders for all resupply needs including oxygen, ventilator, tracheostomy and enteral nutrition Verify insurance and update patient files - which include demographics, insurance, and benefit information Manage patient prescriptions, requesting prior authorization, if necessary to fill the order Responsible for communicating with patients and providers via telephone, email, and web portals Develop working knowledge of Brightree, Document EMR Management, Microsoft Office, MS Teams, McKesson, Cardinal. Resupply web portals and other various applications or software pertaining to patient resupply fulfillment Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare's policies and procedures Maintain and fulfill responsibilities for productivity metrics Other duties assigned Physical Demands The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. Benefits & Perks Comprehensive Medical, Dental, and Vision Package 401(k) Plan with Company Match Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays Life Insurance: Standard coverage with optional enhancements Employee Assistance Program: Free counseling and coaching sessions Emotional Well-being and Work-Life Balance Resources Short & Long-Term Disability: Company-paid with optional supplements Accidental Death and Dismemberment Insurance FSA and HSA: Manage healthcare expenses Commuter Spending Programs Volunteer and Engagement Opportunities Employee Referral Bonuses Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.$31k-38k yearly est. 18d agoPACT Representative I
Atrium Health
Charlotte, NC jobs
Back to Search Results PACT Representative I Charlotte, NC, United States Shift: Various Job Type: Regular Share: mail$25k-32k yearly est. Auto-Apply 12d agoPACT Representative I
Atrium Health
Charlotte, NC jobs
Back to Search Results PACT Representative I Charlotte, NC, United States Shift: 1st Share: mail$25k-32k yearly est. Auto-Apply 12d agoCheck-In Representative - PAS I
Pinehurst Surgical Clinic Pa
Pinehurst, NC jobs
A Patient Access Representative I (PAS I) is responsible for helping patients gain access to medical treatment facilities. The job description for a patient access representative will include communicating well with members of the public and accurately recording data. Responsible for providing quality and efficient customer service to our patients. POSITION REQUIREMENTS: Check-in Greet patients and their caregivers on arrival Collect accurate information such as patient demographics and insurance information Relay information to relevant staff members Collect copays and balances as required or instructed Assist patients with questions, concerns, and issues Give out appropriate paperwork including but not limited to face sheet, MIPS, and PHI Other duties as assigned by manager, leads, or other superiors to limit downtime End of Day Balance daily transactions Add up all receipts and balance with monies received for the day Write deposit for monies collected Print out daily transactions and reports Requirements PREFERRED QUALIFICATIONS: Experience in a clerical position preferred High school diploma or equivalent Knowledge of medical terminology and insurance plans is beneficial Proficiency in Microsoft Office and data entry systems Knowledge and understanding of billing and payment procedures, rules & regulations of contractual and non-contractual insurance carriers Ability and understanding of how to use ICD-10, HCPCS, and CPT coding books and or applications Ability to multitask and maintain strong attention to detail Ability to speak clearly and concisely with pleasant attitude, and present a neat appearance PERSONAL CHARACTERISTICS: Compassionate and patient Professional demeanor Excellent communication and interpersonal skills Strong administrative and organizational skills Listens well and devotes full attention to patients and medical professionals Maintain confidentiality$32k-38k yearly est. 15d agoFinance Associate I - Accounts Payable
Carolina Family Health Centers, Inc.
Wilson, NC jobs
Come join our "Family" and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual's ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview Under the direction of the Director of Finance, the Finance Associate I - Accounts Payable is responsible for the effective function of accounts payable. THIS POSITION OFFERS A 40-HOUR WORK WEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY. Essential Tasks * Code, enter, research, sort, and verify accounts payables. * Make copies of posted check logs, deliver and sort in the Billing department. * Reconcile monthly vendor statements. * Distribute all credit card statements, reconcile, code, and enter all credit card statements. * Prepare sales & use tax report. * Attend Finance/IT CIT meeting. * Review Finance policies and procedures as requested. * Perform internal audits and preparation for external audits. Minimum Qualifications * High school diploma or GED. * Two years of similar experience. * Must be computer literate with an accounting software background. * Entry-level with Microsoft Word and Microsoft Excel. * Attentive to detail and accuracy. * Effective communication skills. Schedule Monday, Tuesday, Wednesday, Thursday, Friday, 8 am - 5 pm Physical Requirements * Potential sitting or standing for long periods of time, occasional bending, stooping, lifting including of patients, reaching forward and overhead. Proper lifting techniques required. * May require walking primarily on a level surface for periods throughout the day. * Frequent computer work required. * Must be able to travel freely in the local area; between clinics, hospitals, health departments, etc. Benefits * 401(k) and match * AD&D insurance * Dental insurance * Disability insurance * Employee assistance program * Flexible spending account * Health insurance * Life insurance * Paid time off * Holidays * Vision insurance * Continuing Education Allowance * Professional dues and license fees Job Type Full-time License/Certification * None Base Pay Overview The starting pay for this position is $15.00 hourly. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the roles.$15 hourly 29d agoFinance Associate I - Accounts Payable
Carolina Family Health Centers
Wilson, NC jobs
Come join our “Family” and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual's ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview Under the direction of the Director of Finance, the Finance Associate I - Accounts Payable is responsible for the effective function of accounts payable. THIS POSITION OFFERS A 40-HOUR WORK WEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY. Essential Tasks Code, enter, research, sort, and verify accounts payables. Make copies of posted check logs, deliver and sort in the Billing department. Reconcile monthly vendor statements. Distribute all credit card statements, reconcile, code, and enter all credit card statements. Prepare sales & use tax report. Attend Finance/IT CIT meeting. Review Finance policies and procedures as requested. Perform internal audits and preparation for external audits. Minimum Qualifications High school diploma or GED. Two years of similar experience. Must be computer literate with an accounting software background. Entry-level with Microsoft Word and Microsoft Excel. Attentive to detail and accuracy. Effective communication skills. Schedule Monday, Tuesday, Wednesday, Thursday, Friday, 8 am - 5 pm Physical Requirements Potential sitting or standing for long periods of time, occasional bending, stooping, lifting including of patients, reaching forward and overhead. Proper lifting techniques required. May require walking primarily on a level surface for periods throughout the day. Frequent computer work required. Must be able to travel freely in the local area; between clinics, hospitals, health departments, etc. Benefits 401(k) and match AD&D insurance Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Holidays Vision insurance Continuing Education Allowance Professional dues and license fees Job Type Full-time License/Certification None Base Pay Overview The starting pay for this position is $15.00 hourly. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the roles.$15 hourly 28d agoInsurance Representative
Carolina Asthma
Charlotte, NC jobs
General Summary: A nonexempt position responsible for the proper and timely processing of claims and payments to providers. Essential Job Responsibilities: * Weekly review of claim edits reports and corrects the claim information such as (CPTs, valid ICD-10's, referring doctor name/UPIN #, modifiers, etc.). * Work and corrects claim rejections from Waystar, correcting necessary data. * Daily follow-up of aged accounts and denied charges. * Keep A/R Supervisor informed on all Payer problems. * Contacting insurance carriers via phone or website. * Handle patient and provider calls in reference to claims or statements. * Answer and forward incoming calls in a timely manner. * Identifies and resolves patient billing complaints. * Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third party payers. * Identify and correct posting errors and overpayments. * Review and correct COB errors. * Other duties and projects as assigned. * Occasional overtime may be required.$32k-39k yearly est. 45d agoInsurance Representative
Carolina Asthma and Allergy Center Master
Charlotte, NC jobs
General Summary: A nonexempt position responsible for the proper and timely processing of claims and payments to providers. Essential Job Responsibilities: Weekly review of claim edits reports and corrects the claim information such as (CPTs, valid ICD-10's, referring doctor name/UPIN #, modifiers, etc.). Work and corrects claim rejections from Waystar, correcting necessary data. Daily follow-up of aged accounts and denied charges. Keep A/R Supervisor informed on all Payer problems. Contacting insurance carriers via phone or website. Handle patient and provider calls in reference to claims or statements. Answer and forward incoming calls in a timely manner. Identifies and resolves patient billing complaints. Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third party payers. Identify and correct posting errors and overpayments. Review and correct COB errors. Other duties and projects as assigned. Occasional overtime may be required. Qualifications Education: High school diploma or equivalent. Experience: Minimum two years of experience working insurance AR follow up and claims processing in a health care setting; including denials and appeals. Other Requirements: None Performance Requirements: Knowledge: Knowledge of clinic policies and procedures. Knowledge of health care insurance claim practices and compliance. Knowledge of computer systems, programs, and applications. Knowledge of medical terminology. Skills: Skill in gathering and reporting claim information. Skill in trouble-shooting claim insurance problems. Skill in written and verbal communication and customer relations. Abilities: Ability to work effectively with physicians, other medical staff, and external agencies. Ability to identify and analyze claim problems.$32k-39k yearly est. 19d agoTCL Financial Services Specialist (Hickory, NC)
Partners Behavioral Health Management
Hickory, NC jobs
Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Available for Hickory, NC Closing Date: Open Until Filled Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities. Role and Responsibilities: 60%: Accounting/General Ledger Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers). Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims Prepare/Process TCL subsidy payments and adjustments Securing vendors documents as required Monthly preparation of journal entries and reconciliations related to TCL 25%: Procurement: Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure Record and track all TCL purchase requests and assure that budget is available for purchases Assist staff with TCL purchases 10% Other Assist auditors during annual fiscal audit as needed Audit Clive, reconcile and recover funds based on audit Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget 5% Reports Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner Knowledge, Skills and Abilities: Strong working knowledge of North Carolina governmental purchasing rules and regulations General knowledge of accounting and auditing principles and practices Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government Working knowledge of accounting software Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public Excellent communication skills, both orally and in writing High level of accounting and data entry skill Excellent computer skills and proficiency in Word, Excel, and Outlook Education and Experience Required: Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience. NC residency, or within 40 miles of the NC border, is required.$27k-31k yearly est. Auto-Apply 60d+ ago
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