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Provides general daily management of the Claims and Billing Department. Develops processes and procedures that will monitor billing outcomes. Oversees the posting of patient and insurance payments. Oversees the process of charges coming into the Claims and Billing Department. Oversees the accuracy of keying those charges into the Practice Management System. Responsible for serving as a connection between the Department and other departments within CS-HHC. Responsible for analyzing rejections, and denials for payment. Implements strategies to eliminate errors and reduce the rejection rate. Updates and develops policies and procedures based on billing needs and requirements as necessary. Works with other WAKEMED departments and staff on a daily basis to troubleshoot and resolve day to day operational issues relating to billing and the processing of claims. Oversees the addition of insurances into the Practice Management System. Allows the access for WAKEMED departments to be able to work in the insurance carrier's websites for eligibility. Reviews accounts and maintains a system for monthly bad debt write-off. Assists with answering telephones and provide information as requested. Approve time sheets and time off. Ability to handle all tasks and projects given and directed by the Patient Account Director. Performs other duties as assigned.
Department Description
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE
Licensure
Not Applicable Education
High School Diploma or Equivalent Required - And Associate's Degree Business Administration Or Accounting Or Healthcare Preferred Experience
2 Years Accounting/Finance - Billing Or Accounting/Finance - Finance Or Accounting/Finance - Third Party Payors Or Accounting/Finance - Collections Required - And 1 Year Leadership Required
At WakeMed Health & Hospitals, we are guided by a simple – yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.To deliver on this mission, WakeMed employs the “best minds and the biggest hearts” in the business. Our team includes over 8,500 experienced registered nurses, technologists, medical professionals, support staff, and a medical staff of more than 1,200 physicians and advanced practice providers who are dedicated to putting patients first.When it comes to culture and benefits, we recognize that when we take good care of our employees, our employees can take even better care of our patients. We proudly offer competitive salaries that reflect background, experience and special skills. Our benefits programs are designed to give you and your family the support you need for today while planning for a successful tomorrow. We promote diversity in the ...workplace, provide equal employment opportunity for all qualified applicants, and we participate in E-verify.We think it’s pretty simple – we care for our employees and our employees care for the community.