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Salary: 17.58-26.38 USD
Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time FTE: 1.066667
Bargaining Unit: Catholic Health Emmaus
Exempt from Overtime: Exempt: No
Work Schedule: Days
Hours: M-F, 8am- 4:30pm hybrid remote option after successful completion of 90 day probationary period in office
Summary:
• Ensures that clients are reimbursed properly and efficiently by verifying patient insurance information, reviewing billing information, verify accuracy of charges. Performs follow-up on insurance company denials on a timely basis.
The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but are not limited to, the following:
• Review of all claims for accuracy
• Review and identify errors or issues with billing and correct the issue for billing
• Review and correct all response files from electronic submissions
• Follow up on any unpaid/outstanding/denied claims within the payers timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including:
• Verify patient’s insurance information using Hnet, ePaces, Connex, insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites.
• Make appropriate changes to correct the denied claims and submit corrected electronic or paper claims to the appropriate insurance carrier.
• Reviews EOB’s for denial or partial payment information.
• Interacts with insurance companies to resolve issues delaying the collections of accounts, including the use of phone calls, emails, and portals.
• Document all patient accounts with each action taken into appropriate system.
• Follow up on all daily correspondence received on a timely basis.
• Responsible to keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications.
• Performs other related duties as requested.
Responsibilities:
Education Requirements
• High School diploma
• Graduate of a certificate program for Medical Billing Program preferred
Experience Requirements
• Two years of Medical Billing experience preferred
• Certification in Medical Billing/Reimbursement is a plus
Knowledge, Skill and Ability
• Demonstrates knowledge of third party billing procedures
• Knowledge of claims review and process
• Strong computer skills (MS Word and Excel preferred)
• Excellent written and oral communication skills
• Excellent organizational skills
• Ability to work well with others
• Dependable in both production and attendance
• Self-Motivated
WORKING CONDITIONS
Environment
• Normal heat, light space, and safe working environment; typical of most office jobs
