Insurance Representatives provide third party payment revenue support for all ECUP clinical site services. They are responsible for proper and timely billing as it relates to ECUP professional medical claims, follow up and collection of revenues from insurance companies. Employees must be knowledgeable of compliance trends as it relates to billing and reimbursement, and assist in the prevention of potential errors that could be considered fraudulent or abusive by a third party payer. Employees serve as ECUP revenue cycle representatives for their clinical specialty when third party payer on-site meetings are conducted, and serve as ECUP revenue cycle representatives for their clinical specialty in clinical departmental coding and PAS meetings as needed.
CLINICALSUPPORTPOSITION – NOTSUBJECT TO STATEHUMANRESOURCESACT.
The ECU Brody School of Medicine is affiliated with Vidant Medical Center. Vidant Medical Center is the flagship hospital for Vidant Health and serves as the teaching hospital for the Brody School of Medicine at East Carolina University.
Special Instructions To Application:
Please ensure your full range of knowledge, skills, abilities, experience and education are listed on your application. Do not write ‘see resume’ on your application when completing the job duties section.
If you answer the questions at the end of the application, please ensure your application reflects the knowledge, skills, abilities and experiences to support your answers (see job duties section of previous employment).
Failure to answer the questions at the end of the application will not preclude your application from being considered but may result in your application not receiving full consideration of your knowledge, skills, and abilities.
High school diploma or equivalency and one year of related office experience; or equivalent combination of training and experience.
Full time or Part time: Full Time
Position Location (city): Greenville
Position Number: 951070
Organizational Unit Overview:
Clinical Finance and Business Support Services/Group Practice Administration is responsible for the clinical and administrative oversight of the group practice for ECU Physicians. The practice is comprised of approximately 360 faculty physicians, 52 contracted providers and employs a diverse clinical support staff of more than 1,200 individuals, of which approximately 350 employees are working within revenue cycle operations The practice provide approximately 550,000 outpatient, 155,000 emergency room and 126,000 inpatient services annually to nearly 160,000 patients. Clinical Finance and Business Support Services reports to the ECU Physicians (ECUP) Executive Director and ECUP Chief Financial Officer to support key fiscal and operational components of the clinical practice and revenue cycle operations. These include direct management responsibility for staffing and operations in the centralized functions of the Central Billing Office (CBO) and oversight for decentralized activities. Centralized functions include: Payor Contracting and Evaluation, Regulatory Compliance and Credentialing; Computer System and Procedure Training; Insurance and Patient Billing, Follow-up and Collections; Cash Management of Professional Fee Revenue; Business Intelligence Services such a Reporting and Analytics; Coordinated Patient Access Support; and Contact Center Decentralized functions include: Registration, Referral Management, Pre-Service Financial Preparation; Service Identification and Reconciliation; Coding and Charge Entry; and Project Management and Process Improvement.
To be a national model for student success, public service and regional transformation, East Carolina University uses innovative learning strategies and delivery methods to maximize access; prepares students with the knowledge, skills and values to succeed in a global, multicultural society; develops tomorrow's leaders to serve and inspire positive change; discovers new knowledge and innovations to support a thriving future for eastern North Carolina and beyond; transforms health care, promotes wellness, and reduces health disparities; and improves qualify of life through cultural enrichment, academics, the arts, and athletics. We accomplish our mission through education, research, creative activities, and service while being good stewards of the resources entrusted to us. East Carolina University delivers on the promise of opportunity. We open doors. We improve lives. We transform the present, and we discover the future. In these ways and more, we serve our community, our state, our nation and our world as together we reach toward our greatest potential. Tomorrow starts here.