Salary: 17.09-25.63 USD

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

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

  REQNUMBER: 26280