Medical Billing-Anthem

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Medical Billing-Anthem

Roanoke, VA, US, 24011

Employment Status: Full time

Shift: Day

Facility: CASB - Carilion Administrative Services Building

Requisition Number: 146975

How You'll Help Transform Healthcare:

Our Medical Biller duties include, but are not limited to:

Provides general support for Revenue Cycle Accounts Receivable functions within specified third-party payer team.

Maintains a working knowledge of assigned payer responsibilities. This position works with limited supervision under the direction of team management. Uses discretion in dealing with confidential patient-protected information.

Works in a fast-paced, office environment with high productivity and accuracy standards that require detailed analysis, research, and critical thinking skills to resolve claims issues.

• Apply in-depth knowledge of the industry standard billing rules, regulations, and procedures to investigate and resolve problems related to outstanding insurance and patient accounts in compliance with all Federal and State Billing requirements.

• Analyzes complex accounts and determines necessary actions needed for claim resolution. Manages denial, aged, no response, and "at risk" AR.

• Utilizes strong analytical, problem-solving, and root cause analysis skills to evaluate problems diagnose unconventional payer trends and propose resolutions.

• Recognizes the various timeframe requirements as assigned by the payer acting as the primary line of defense against potential timely filing losses including filing written 1st, 2nd, and 3rd level appeals to maximize cash flow and mitigate bad debt.

• Exhibits a broad knowledge of medical billing collection practices and ICD-10/CPT/HCPCS/Modifiers and medical terminology. Prepares, reviews, and transmits claims using billing software, including electronic and paper processing.

• Work special assignments based on payer requirements and specialized functions determined by management review, voluntarily or assigned.

• Monitors AR balances and aggressively pursues collections on outstanding claims with appropriate payers.

• Responds to internal billing inquiries by researching and effectively resolving issues. Documents actions taken and communicated results appropriately.

What We Require:

Education: High School graduate required (or equivalent); some college education preferred.

Experience: Two years of applicable experience desired.

Other Minimum Qualifications: Effective communication, analytical, problem-solving, and critical thinking skills required. Excellent interpersonal skills required. Requires excellent hearing, clear/concise speech, excellent finger dexterity to operate computer terminal/keyboarding as well as use of a calculator. Must be proficient with word processing, computer/PC skills. Excellent documentation and follow-up skills required.

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Requisition Number: 146975

Employment Status: Full time

Location: CASB - Carilion Administrative Services Building

Shift: Day

Shift Details: Mon - Fri 8:00am-4:30pm Overtime as needed.

Recruiter Email: kagonce@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

Carilion Total Rewards

What matters to you is important to us-like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Employer Funded Pension Plan, vested after five years (Voluntary 403B)

• Comprehensive Medical, Dental, & Vision Benefits

• Flexible Work Arrangements/Schedules

• Remote Work Options

• Paid Time Off (accrued from day one)

• Onsite fitness studios and discounts to our Carilion Wellness centers

• Access to our health and wellness app, Virgin Pulse

• Discounts on childcare

• Continued education and training

Find more about Carilion Clinic's benefits by vising our Total Rewards Page.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

Nearest Major Market: Roanoke

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