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Collects, verifies, and records data for use in maintaining records by performing the following duties:
. Credentialing for all licensed providers with commercial insurance, Medicaid and Medicare.
Research the reasons for denied and rejected claims. Correct and rebill or make needed adjustments.
Update patient financial records as needed to rebill claims.
Monitor unpaid accounts receivable.
Establish and maintain positive and effective working relationship with CVH colleagues, including being respectful of colleagues' ideas, contributing to team processes, using constructive problem-solving processes, communicating proactively and efficiently, and maintaining an overall positive workplace atmosphere.
Timely and accurate documentation that shall maintain compliance with CVH policies/procedures, purchaser of service requirements (i.e. NC Division of MH/DD/SA, DMA, LME). accrediting/regulatory bodies (CARF, NC Statues, APSM rules), and the NC Records Manual.
Participate in and effectively use administrative supervision to improve the quality and performance of services for person served and the organization.
Respect and preserve the privacy, confidentiality, and security of all confidential information.
Always promote, protect, and advocate for the rights and diversity of persons served, and continually protect persons served from abuse, neglect, and exploitation.
Other duties as assigned or appointed.
Minimum of a High School diploma with at least two years of experience in medical billing/reimbursement.
Prefer past experience in a primary and behavioral health setting.
Familiarity with CPT. HCPCS, DSM-5, ICD-9 and ICD-10.
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