LEAD, GOVERNMENT/NON-GOVERNMENT Job at Wayne UNC Health Care
Job Summary:
The Government or Non-government Lead coordinates the daily activities of a team of specialists for Government or Non-government insurance claims. Is responsible for reviewing, submitting and resolving assigned insurance accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines.
Processes all assigned government or nongovernment accounts and denials for complex financial appeals, with a goal of bringing the accounts to an appropriate financial resolution in accordance with regulatory, legal, and compliance guidelines. Follows rules for overturning appeals and rejections for these accounts. Completes additional research and coordinates with the departments, physician offices and insurers. Assists Manager and Patient Financial Services in maintaining accounts receivables at appropriate levels.
Submits insurance claims to the appropriate payers on a daily basis in adherence to applicable regulatory, legal, and compliance guidelines. Assists the Manager and Revenue Cycle Director in all aspects of claims processing.
Education Requirements:
- High school diploma or GED required
Licensure/Certifications:
- CRCR (Certified Revenue Cycle Representative) within one year of hire
Experience Requirements:
- Minimum of two years of experience in hospital or physician insurance related activities (authorization, billing, follow-up, call-center, or collections)
Knowledge, Skills & Abilities:
- Good organizational, follow up and attention to detail
- Excellent customer service and interpersonal skills
- Ability to lead, guide and motivate others
- Ability to read, write and communicate effectively in English
- Proficient with MS Office, EPIC or EMR software with ability to learn new software rapidly
Benefits:
- Paid Time Off
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Retirement Plan
- Employee Assistance Program
- Education Assistance
Location: Wayne UNC Health Care · Patient Accounts
Schedule: Full Time, 80
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