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Job ID: 64226
Location: Goldsboro, NC
Facility/Division: Wayne UNC Health Care
Status: Full Time
Shift: Day Job
Description
Job Summary | ||||||||||
The Government-Non-government Specialist is responsible for reviewing, submitting and resolving assigned insurance accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines Processes all assigned government and nongovernment accounts and denials for complex financial appeals, with a goal of bringing the accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines. Follows rules for overturning appeals and rejections for these accounts. Completes additional research and coordinates with other departments, physician offices and insurers. Also performs follow-up responsibilities of a financial counselor. Assists Revenue Cycle Director in maintaining accounts receivables at appropriate levels. Submits insurance claims to the appropriate payers on a daily basis in adherence to applicable regulatory, legal, and compliance guidelines. Assists the Manager and Director in all aspects of claims processing.
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