Insurance Denial Specialist - Eagle Billing Services in Greensboro, North Carolina at Eagle Physicians

Join Our Team as an Insurance Specialist!

Are you a compassionate and patient-focused Insurance Denial Specialist with at least 1 year of medical billing experience looking for a rewarding leadership opportunity? Eagle Physicians & Associates is seeking a dynamic, self-motivated Insurance Denial Specialist to join our dedicated healthcare team at Eagle Billing Services.

We offer a competitive salary, a collaborative work environment, and an outstanding benefits package designed to support both your personal and professional growth.

Schedule

Monday–Friday8:00 AM–5:00 PMOn-Site PositionShift hours may vary based on the needs of the practice as determined by the Practice Administrator

Qualifications

One year of medical billing experience in a health care organization.

Why Eagle?

Our employees genuinely enjoy working at Eagle. For three consecutive years, Eagle team members have rated the organization highly in our annual Employee Engagement Surveys. In our most recent survey, 92.8% of employees shared that they see themselves continuing their career at Eagle and would recommend Eagle as a great place to work.

Join Us and Thrive!

Support staff hired at a 0.50 FTE or greater on or after April 1, 2024, are eligible for our structured retention bonus program:

$750 at 6 months$750 at 12 months$1,000 at 18 months$1,000 at 24 months

Paid Maternity/Paternity Leave

After one year of employment and 1,250 hours worked, Eagle provides up to two weeks of paid maternity/paternity leave for the birth or adoption of a child. Leave is prorated based on FTE status.

Influenza Vaccine Requirement

As a condition of employment, an influenza vaccine is required. Please contact Eagle HR with any questions regarding this policy.

Eagle Physicians & Associates is proud to be an Equal Opportunity Employer.

Key Responsibilities

• Accurately post insurance payments, including electronic and paper payments, as well as applicable adjustments.
• Apply knowledge of medical billing practices, CPT, ICD, and HCPCS codes to support accurate claim and account processing.
• Review and work insurance claim denials to ensure claims are processed accurately and appropriately.
• Follow up on delinquent insurance payments and outstanding reimbursement.
• Review transaction denials and collaborate with Eagle Business Services staff and/or practice sites to re-file charges when appropriate.
• Review payer policies, explanations of benefits (EOBs), and other billing documentation for accuracy and completeness, paying close attention to detail.
• Assist patients with insurance-related questions, including providing accurate explanations of how their insurance processed claims.
• Demonstrate a strong understanding of healthcare insurance and research all necessary information to facilitate reimbursement for charges.
• Maintain effective relationships with assigned payers to facilitate timely resolution of issues and reimbursement of claims.
• Prepare and maintain records in accordance with established procedures and detailed instructions.
• Accurately and concisely document all claims and/or account activity.
• Use computer systems and calculators effectively to complete assigned billing and reimbursement responsibilities.
• Communicate clearly and professionally with patients, coworkers, providers, Eagle Business Services staff, payer representatives, and other individuals.
• Provide pleasant, helpful, and professional telephone and customer service to patients and others.
• Participate in educational activities, meetings, and professional development opportunities as required.
• Demonstrate respect, courtesy, professionalism, and advocacy in all interactions with patients, coworkers, providers, and other individuals.
• Maintain a positive, team-oriented attitude and demonstrate a willingness to work effectively with coworkers and assist where and whenever needed.
• Maintain clear, legible, and professional written documentation using proper grammar and sentence structure.
• Follow HIPAA guidelines for patient confidentiality and maintain the security of Protected Health Information (PHI) and business information.
• Maintain the confidentiality of patient and business records and access, disclose, copy, or remove records only as necessary to fulfill assigned job responsibilities.
• Uphold and exemplify Eagle’s Diversity, Equity, and Inclusion values through daily actions, activities, and behaviors.
• Uphold and exemplify Eagle’s Vision, Mission, and Values through daily actions, activities, and behaviors:
  • Vision: Eagle Physicians will be seen as the healthcare organization of choice by patients, staff, and the community.
  • Mission: Eagle Physicians will provide patient-centered healthcare for our community with a team committed to high-quality, supportive, and compassionate care.
  • Values: Integrity, Compassion, Trust, Professionalism, and Respect.
• Perform additional duties and responsibilities as required.