Insurance AnalystMoses Cone Health System - Greensboro, NC
68300-UMF-Urgent Med and Family Care
Job Interest Category:
Job Interest (specific):
Urgent Medical Family Care
8 hour days
Specific Work Schedule Detail:
8 hour days
Hours per week:
Cone Health Medical Group is a partnership of 100 primary and specialty care practices/locations across the Triad, with over 500 doctors and healthcare providers and approximately 1,500 employees. Cone Health Medical Group makes up the second largest division of Cone Health.
Together, we create unsurpassed health care experiences.
We are the leader in delivering integrated, innovative health care.
At Cone Health, we value and are accountable for:
· Caring for Our Patients
We provide exceptional quality, compassionate care and service in a safe, respectful environment.
· Caring for Each Other
We appreciate each other through honest communication and respect. We inspire ongoing learning, pride, passion and fun.
· Caring for Our Communities
We engage our communities with integrity and transparency. We embrace our responsibility to promote health and well-being.
Education / Licensure / Certification:
High School Diploma or equivalent - Required.
1 year previous billing experience preferred.
KNOWLEDGE, SKILLS, AND ABILITIES-REQUIRED:
Ability to communicate in writing in English
Ability to communicate verbally in English
Ability to follow verbal and written instructions in English
Ability to multi-task and prioritize
Effectively assesses and adjusts to changes in circumstances,
resources, or environment, using the creativity and flexibility required to
remain effective. Views change as a constant, accepting and adjusting
to twists and turns. Adjusts to the especially unpredictable nature of a
healthcare environment, shifting focus as necessary, and taking
reasonable action, even when faced with various levels of uncertainty.
Attention to detail, thorough in work
Working knowledge of personal computer and communications
Critical thinking and decision making skills
Customer Service Skills
Data Entry- basic knowledge
Oral and Written Communication Skills
Ability to communicate effectively through both oral and written formats.
Reacts promptly when requests are made or situations clearly call for it.
Shifts priorities when a timely response is essential. Actions reflect
sensitivity to patient/customer needs and sense of urgency. Balances
speed of response with safety concerns.
Establishes priorities during routine daily operations, addressing time sensitive
matters first, while also accomplishing day-to-day tasks and
duties. Effectively triages tasks and events according to urgency level,
impact on patients and outcomes desired under special conditions (e.g.,
during crises and emergencies). Makes choices that result in maximum
completion of essential duties and minimum personal stress.
KNOWLEDGE, SKILLS, AND ABILITIES-PREFERRED
Additional information on Knowledge, Skills, and Abilities:
Knowledge of CPT and ICD-9 and ICD-10 coding in a physician office setting preferred.
Exerting up to 10 pounds of force occasionally (up to 1/3 of the time) and/or; a negligible amount of force frequently (1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Job are sedentary if walking and standing are required only occasionally and all other sedentary
criteria are met.
Hear alarm bells, verbal conversations, telephone voices and normal volume sounds
Close vision (clear vision at 20 inches or less)
Distance vision (clear vision at 20 feet or more)
Color vision (ability to identify and distinguish colors)
CONDITIONS OF EMPLOYMENT
* Annual flu shot
* Annual TB test (if applicable to your job location)
* Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance
* Maintain licensure/certification/registry/listing (if applicable to your job)
Responsible for Insurance follow-up activities and Workqueue maintenance in the Charge Review, Follow-Up No Response, Follow-Up Denial, Claims Clearinghouse/Payor Rejections, Retro Review, Claim Edit, Pre-Collections, Credit Workqueues and appointment scheduling, patient billing calls and Insurance Medical records request/chart reviews.
MAJOR WORK ACTIVITIES:
Assists patients by phone and in person with insurance and billing questions and schedules patient appointments by phone in an efficient, friendly and courteous manner. 10 %
Daily maintenance of assigned Workqueues. 20 %
Handles all follow up on denied claims and resolves claim issues timely to keep accounts out of the 60 days aging category. 15 %
Identifies and refers patients with insurance balances over $100 (patient or insurance) to Collections Specialist for phone contact and follow up. 10 %
Identifies and resolves any claims processing issues such as appeals, medical records requests, coordination of benefits questionnaires and pre-existing condition questionnaires. 10 %
Performs Front Office duties (check-in/check-out) and daily deposit as assigned. 10 %
Performs Urine Drug Screens, Charge Entry and Charge Entry Verification as needed. 10 %
Pulls EOBs for any claim in 31-60 or older category to scan to Revenue Cycle Team for posting. 15 %
Occurs under one-third of the time
Exposure to bloodborne pathogens
Hazardous waste and/or toxic/caustic chemicals
Fumes or airborne particles
iCARE - COMMITMENTS TO CARE:
I will create and engage in conversations of possibility.
o I will be open to innovation and creativity.
o I will listen to understand.
o I will bring ideas for solutions and be open to alternative ideas.
o I will be open to constructive feedback.
o I will not engage or listen to negativity or gossip.
o I will be positive when speaking about Cone Health, my department, and my coworkers.
o I will be approachable.
o I will focus on behaviors, not the person, during conflict.
I will honor my word.
o I will do what I say when I say I will. o I will “clean it up” when I can’t keep my word.
o I will honor my work agreement.
o I will be “on the court” instead of “in the stands.”
o I will follow up in a timely manner on commitments and requests.
o I will apologize when someone experiences less than excellent service. o I will take responsibility for my actions, decisions and performance.
o I will protect patient safety (best practices: ex – hand hygiene).
I will assume the best of intentions and embrace differences.
o I will collaborate and seek other people’s input.
o I will demonstrate courtesy, compassion, and respect with my tone of voice and body language.
o I will speak positively about Cone Health – managing up coworkers, physicians, departments, patients and visitors.
o I will ask the person directly involved when I don’t know.
o I will include diverse skills, abilities, strengths, and backgrounds to create better outcomes.
o I will care for myself while also respecting others.
I will own it, solve it, and celebrate it!
o I will offer solutions when problems are identified.
o I will share my input for decisions by participating in forums such as shared governance, town halls, employee engagement survey, brown bag discussions, employee councils, staff meetings, or directly with my manager.
o I will take charge and do the right thing at the right time.
o I will make decisions keeping a balance of service, quality, and cost in mind.
o I will demonstrate Cone Health values.
o I will seek opportunities to celebrate and have fun.
o I will recognize good work.
I have seen and reviewed the job description in its completed form and understand that I will be required to perform all functions listed if hired for this position. I recognize that, if hired, it is my responsibility to notify my manager as soon as possible if I am unable to perform any of the functions of my position for any reason. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.
Exceptional People Providing Exceptional Care!
Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on.
Extraordinary patient care is about being “high-touch” as well as “high-tech”. Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community!
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation. Additionally, Cone Health invites interested deaf and hard of hearing applicants to use Video Relay Service (VRS).
9 days 5 hours ago
applyInsurance Analyst Moses Cone Health System - Greensboro, NC, United States
Moses Cone Health System is a multi-hospital system with a range of outpatient services designed to provide care for Piedmont residents throughout all stages of their lives. Residents of our primary service area of Guilford, Randolph, Rockingham and Alamance counties and the city of Kernersville depend on us for convenient, affordable and compassionate care - care delivered regardless of a patient s ability to pay.
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