Medical Billlng-Credit Balance

How You’ll Help Transform Healthcare:

This position will serve as a Credit Balance specialist reporting to the manager of the Payment Processing and Credit Balance teams. You may advise candidates that limited remote work, 2 to 3 days per week, is a possibility contingent upon successful completion of training and maintaining productivity and quality scores.
Hours are on-site 7:30am - 3:30pm

The job duties for the Medical Biller includes, but is not limited to, the following:

• Processes and monitors claims in work queues to the point of resolution and determines appropriate action and follow-up.
• Conducts analysis of issues holding up accounts and follows guidelines established by Revenue Cycle Billing Manager to achieve successful adjudication from the third party payor assigned.
• Maintains a working knowledge of assigned payor's specific operating policies and guidelines.
• Recognizes the varying timeframe requirements as assigned by payor and is the primary line of defense in resolving timely filing and other straight forward denial issues.
• Completes timely handling of mail and phone messages.
• Reviews the SSI (electronic claim production) download in order to execute basic claim edits and document all work effort within the appropriate system.

What We Require:

Education: High School graduate required (or equivalent); some college education preferred.

Experience: Two years of applicable experience desired.

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. Must be proficient with word processing, computer/PC 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.