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Salary: 20.46-30.70 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:

8 hours work days- schedules are 7-3:30, 7:30-4, 8-4:30

Summary:

Hybrid work schedule after successful 90 day probation period/training

The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but are not limited to, the following

+ 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

+ 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

+ 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.

+ 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.

+ 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: 34985