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Medical Billing Preceptor-HB Comm/State

Carilion Clinic

Location: Roanoke, Virginia
Type: Full-Time, Non-Remote
Posted on: July 8, 2024
Medical Billing Preceptor-HB Comm/State
How You’ll Help Transform Healthcare
Provide educational support for Revenue Cycle accounts receivable function within multiple third-party payors/teams. Maintain and disseminate advanced working knowledge of multiple payors and related job responsibilities. Follow and instruct on HIPAA requirements to protect patient health information. Work in a fast paced, ever changing environment. Located in an office environment. The role has quality and production requirements with quality reviews in place. This position requires detailed analysis, decision making, and critical thinking to resolve claims problems. Support training and education of those in the Medical Billing Analyst I and Medical Billing Analyst II roles within assigned area of responsibility.
• Apply an in-depth knowledge of multiple payors. Understand billing requirements and government regulations. Remain up-to-date current on procedures and policies to resolve problems related to outstanding claims.
• Recognize the various timeframe requirements of assigned payer(s) and serve as the secondary line of defense against financial losses through communication with payor representatives and fervent pursuit of applicable appeals processes.
• Independently identify and perform root cause analysis of complicated accounts to evaluate, diagnose, and adjudicate claims.
• Continuously expand knowledge of all aspects of Revenue Cycle including; but not limited to, Patient Access, Authorization, Utilization Management, charge capture, coding, medical terminology, billing, appeals, cash flows, customer service, payor remittance data, and collections.
• Lead complex project assignments and provide updates to management.
• Monitor and report on receivable balances which include at risk or high dollar accounts. Apply appropriate and measured collection techniques to resolve problem accounts.
• Quickly respond to customer service inquiries in an accurate and concise manner. Documents all information for retrieval by others.
• Adhere to all departmental policies and procedures.
• Serve as preceptor during the new hire onboarding process.
• Coordinate new hire activities to insure successful completion of core competencies.
• Identify and provide continuing and refresher education.
• Provide continuous updates on new hire progression to management during the onboarding process.
• Serve as Subject Matter Expert (SME) liaison to Operations Technical Support during user acceptance testing.
• Review and maintain department policies and procedures.
M-F between hours of 7a-5p; weekends/holidays as needed
What We Require
Education : High School graduate required (or equivalent); some college
education preferred.
Experience : 3-5 years of experience in related field. Epic experience or equivalent software experience. Prior education and training experience preferred.
Licensure, certification, and/or registration: Proficient in approved application/software required within 6-12 months of position start date.
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. Proficient Microsoft Office Suite 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: 146744
Employment Status: Full time
Location: CASB - Carilion Administrative Services Building
Shift: Day/Evening
Shift Details: M-F 8:00AM - 4:30PM, Some flexibility in hours
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.
Hospitals and Health Care
Health Care Provider
Full-time