Location: Garner, North Carolina US
Job Number: 3317
Position Title: Claims Processor
We are seeking a friendly, detail-oriented Claims Processor to join our team in Garner, NC. This is a full-time position.
The Medical Collection Specialist is responsible for performing all duties necessary to facilitate the collection of patient account balances from account guarantors. These duties may include but are not limited to account follow up with insurance payers, contact with patients, guarantors and policy subscribers as required finalizing the collection of monies due to the facility for services already rendered. The Collector must follow the defined workflow and the approved timelines for timely claim submission, review, appeal and adjustments.
Required Education, Skills & Abilities:
- Ability to understand State and Federal collection rules
- Ability to read and interpret payer contracts to review accounts for appropriate payments and adjustments
- Ability to read and interpret Explanation of Benefits, Payer Remits
- Ability to calculate claims for expected Reimbursements and Contractual Adjustments
- One year medical billing experience required
Address1: 350 New Fidelity Court
Company: Pivot Physical Therapy
State: North Carolina
Community / Marketing Title: Claims Processor
Pivot Health Solutions is a premier provider of health and wellness services that focus on getting people back to health, preventing injury and staying fit where they work, live and play. Our core offerings include: Pivot Physical Therapy— helping people get back on the move by delivering the highest quality care and superior functional outcomes through evidence-based practice; Pivot Occupational Health— helping businesses keep workers healthy and safe, while controlling employee health care costs; Pivot Sports Medicine— helping athletes of all ages meet their performance needs with personalized services to safely prevent or recover from sports-related injuries; and Pivot Performance— helping athletes at all levels reach peak performance with customized, instructor-led programs for individuals, semi-private groups and athletic teams. No matter where a person is on the spectrum of health, we have a personalized solution delivered by the best professionals in their chosen fields.
EEO Employer Verbiage:
Pivot Health Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Pivot Health Solutions complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Pivot Health Solutions expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Pivot Health Solution's employees to perform their job duties may result in discipline up to and including discharge.
Location_formattedLocationLong: Garner, North Carolina US