Northeast Georgia Health System

Northeast Georgia Health System.

  • Oakwood, GA


  • Long-term.

  • Full-time.

Improving the health of our neighborhood in all we do

Northeast Georgia Health System (NGHS) is a non-profit neighborhood health system on an objective of enhancing the health of our neighborhood in all we do. Our group looks after more than 1 million individuals throughout the area through 4 medical facilities and a range of outpatient places. Northeast Georgia Medical Center (NGMC) has schools in Gainesville, Braselton, Winder and Dahlonega – with an overall of more than 700 beds and more than 1,100 medical employee representing more than 50 specializeds. NGHS likewise includes Northeast Georgia Physicians Group, a multi-specialty group with more than 65 areas, and The Heart Center of Northeast Georgia Medical Center, a cardiology practice with more than 15 areas.

NGHS

Accounts Receivable Billing Rep – NGPG Primary Care/UC – Oakwood

Full Time – 8a-5p – Oakwood

Job Summary:

The Accounts Receivable Billing Rep is accountable for precise and timely follow-up of overdue or rejected claims/charges. Representative is likewise accountable for offering impressive client service to both clients and team member. Representative needs to have the ability to research study challenging accounts and report any particular rejection patterns to management. Associate will be accountable for remaining existing with all designated payer updates.

Minimum Job Qualifications:

  • CPC Certification chosen.
  • 2 years of experience in Medical Physician billing, collections and/or compensation to consist of permissions, charge entry, claim management, payment publishing and balance due needed.

Preferred Education requirements:

  • High School Diploma or Equivalent

Job Specific and Unique Knowledge, Skills and Abilities

  • Thorough understanding and understanding of client billing, billing transmission and electronic billing systems, consisting of repayment understanding of Medicare, Blue Cross, United Health Care, Medicaid, business insurance coverage and HMO providers.
  • Knowledge of medical terms and ICD-9/ CPT coding. Show proficiency in coding CPT and ICD9 associated to compensation.
  • Strong composed and oral interaction abilities consisting of the capability to deal with other departments. Show favorable social relations in handling fellow workers, Supervisors, Physicians, Management so that efficiency and favorable worker relations are taken full advantage of.
  • Ability to translate 3rd parry protection, client duty and examine a client’s monetary condition.
  • Knowledge of procedures for billing expert services offered in the medical facility and workplace setting. Understanding of the appeals procedures for various payers.
  • Knowledge of electronic billing systems and EMR’s.
  • Ability to work and deal with issues separately and show job conclusion.
  • Demonstrate extensive understanding and understanding of CBO Policies and Procedures along with the NGHS handbook.
  • Demonstrate extensive understanding of Medicare and business waivers if relevant to task.
  • Demonstrate proficiency in usage and upkeep of computer system devices, printers, and telephone system and facsimile devices. Understand fundamental PC window applications.

Essential Tasks and Responsibilities

  • Maintains existing understanding of 3rd party, federal and state guidelines, insurance protection, rejection codes and billing requirements associated with doctor billing and follow-up. This it to be achieved by participating in associated workshops, research study, conference with insurance coverage representatives and checking out all memos/payer updates.
  • Ensures secondary billing on accounts with secondary liability; follow-up on any unsettled balances.
  • Provides fixed information and resubmit claims as essential.
  • Responds to client and third-party inquiries/complaints relating to client accounts through telephone, mail or face to face.
  • Maintains/improves efficient third-party relationships.
  • Ensures that rejected visits/services are appealed or processed to be crossed out if relevant.
  • Reports possible write-offs to Practice/Billing Manager.
  • Works carefully with other billing workers and Practice/Billing Manager in acting on accounts.
  • Reviews/analyzes client accounts and take required actions to solve client concerns by carrying out changes, refunds, and so on from incoming/outgoing phone call or mail.
  • Provides the highest-level client service to clients and other CBO or center personnel by following through on call, website questions/concerns and account queries. Deal with client problems and demands concerning insurance coverage billing and start precise account modifications.
  • Updates market and insurance coverage details on client accounts as required.
  • Keeps others in Central Business Office notified of third-party billing updates, documents standards, and reimbursement/contract administration.
  • Serves as an intermediary with payers, debt collector and clients by being offered to respond to concerns, manage scenarios as they happen and meet insurance coverage associates routinely.
  • Follows all billing issues to conclusion.
  • Resubmits insurance coverage claims as needed.
  • Ensures the stability and timeliness of workflow by ensuring work is kipped down as appointed in addition to follow-up on the development and paperwork of account load.
  • Collects and examine all client insurance coverage details required to finish the billing procedure.
  • Completes all essential insurance coverage kinds (i.e. HCFA 1500) to process the correct billing details in a prompt way as needed by all third-party payers.
  • Submits all paper declares and supporting documents as needed by payers.
  • Works CBO reports in a prompt way and turn in to Supervisor/Manager on designated dates. Reports need to be finished in addition to putting notes in the system, follow-up as required and awareness to lowering the over 90 ( ) days aging pails.
  • Reports and issue, issues, patterns or problems with Supervisor/Manager by keeping track of accounts.
  • Maintains upgraded resource handbooks and associated products.
  • Ensures stability, privacy and security of client records.
  • Assists center Practice Administrators in compensation problems.
  • Helps to keep total tidiness and security of work environment in business workplace.

Since very first opening its doors in Gainesville in 1951, Northeast Georgia Medical Center has actually included healthcare facility schools in Braselton, Barrow and Dahlonega – and end up being Georgia’s many granted healthcare facility. Some acknowledgments consist of being called to these lists:

America’s 50 Best Hospitals – Healthgrades

100 Top Hospitals – Truven Health Analytics

100 Hospitals with Great Heart Programs – Beckers Hospital Review

America’s Top Quality Providers – Carechex

Atlanta’s Top 150 Workplaces – Atlanta Journal-Constitution

Healthcare’s Most Wired Hospitals and Health Systems – Hospitals & Health Networks publication

NGMC has actually likewise been acknowledged over the last few years as Georgia’s # 1 Hospital for general healthcare facility care, general surgical care, heart care, orthopedic surgical treatment, ladies’s care and more.

Northeast Georgia Health System.

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