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 takes care of 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

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. Associate is likewise accountable for offering impressive customer care to both clients and employee. Associate should have the ability to research study hard 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 receivable needed.

Preferred Education requirements:

  • High School Diploma or Equivalent

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 going to associated workshops, research study, conference with insurance coverage associates and checking out all memos/payer updates.
  • Ensures secondary billing on accounts with secondary liability; follow-up on any overdue balances.
  • Provides fixed information and resubmit claims as essential.
  • Responds to client and third-party inquiries/complaints concerning client accounts by means of 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 fix client problems by carrying out modifications, refunds, and so on from incoming/outgoing phone call or mail.
  • Provides the highest-level customer support to clients and other CBO or center personnel by following through on telephone call, website questions/concerns and account questions. Fix client grievances and demands concerning insurance coverage billing and start precise account changes.
  • Updates market and insurance coverage info on client accounts as required.
  • Keeps others in Central Business Office notified of third-party billing updates, paperwork standards, and reimbursement/contract administration.
  • Serves as an intermediary with payers, debt collection agency and clients by being readily available to respond to concerns, deal with scenarios as they happen and meet insurance coverage representatives routinely.
  • Follows all billing issues to conclusion.
  • Resubmits insurance coverage claims as needed.
  • Ensures the stability and timeliness of workflow by making certain 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 info required to finish the billing procedure.
  • Completes all essential insurance coverage kinds (i.e. HCFA 1500) to process the correct billing info 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 decreasing the over 90 ( ) days aging containers.
  • Reports and issue, issues, patterns or problems with Supervisor/Manager by keeping an eye on accounts.
  • Maintains upgraded resource handbooks and associated products.
  • Ensures stability, privacy and security of client records.
  • Assists center Practice Administrators in repayment concerns.
  • Helps to preserve total tidiness and security of office in business workplace.

Since very first opening its doors in Gainesville in 1951, Northeast Georgia Medical Center has actually included health center schools in Braselton, Barrow and Dahlonega – and end up being Georgia’s a lot of granted medical 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 in the last few years as Georgia’s # 1 Hospital for total healthcare facility care, general surgical care, heart care, orthopedic surgical treatment, females’s care and more.

Northeast Georgia Health System.

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