• Patient Account Rep/Biller

    WMCHealth (Kingston, NY)


    Patient Account Rep/Biller

     

    Company: HealthAlliance Hospital

     

    City/State: Kingston, NY

     

    Category: Clerical/Administrative Support

     

    Department: Patient Accounting

     

    Union: No

     

    Position: Full Time

     

    Hours: M-F 8am-4pm

     

    Shift: Day

     

    Req #: 43076

     

    Posted Date: May 09, 2025

     

    Hiring Range: $19.37/HR - $24.35/HR

     

    External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29301) Internal Applicant link

    Job Details:

    Responsible for filing insurance claims to third party payers in a timely manner. Also responsible for followup of unpaid claims in an effective manner. RESPONSIBILITIES

     

    + Is responsible for filing insurance claims for all third party payers. Addresses any edits pertaining to billing correctly and accurately, reports repetitive edits to management for system correction.

    + Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy, maintaining a professional appearance and positive attitude.

    + Analyzes daily electronic billing reports for errors. Identifies claims with errors preventing acceptance and corrects and rebills these accounts. Performs daily reconciliation of claim submission and receipt

    + Proactively addresses problems and issues encountered in billing or follow-up in order to resolve accounts in a timely manner.

    + Follows up on unpaid or denied claims. Actively works on assigned queue incorporating high dollar report and denial report into the daily queue.

    + Stays informed of all rules and regulations governing billing and reimbursement of 3rd party payors. Utilizes tools available from each payors including; websites, payor meetings, educational seminars and provider reps.

    + Processes credit balances and issues refund requests where appropriate.

    + Promotes positive relationships among co-workers. Communicates effectively within the department and keeps management informed on key issues.

    + Performs other duties as assigned.

    QUALIFICATIONS/REQUIREMENTS EXPERIENCE

    + 1-3 yrs. office experience, preferably in medical related field or equivalent education.

    EDUCATION

    + High School diploma

    LICENSES/CERTIFICATIONS

    + Typing, data entry, general clerical and strong mathematical skills required. Knowledge of medical terminology, coding, medical insurance and familiarity with medical field preferred. Ability to use computers and modern office equipment.

    About Us:

    HealthAlliance Hospital

    Benefits:

    We offer a comprehensive compensation and benefits package that includes:

    + Health Insurance

    + Dental

    + Vision

    + Retirement Savings Plan

    + Flexible Savings Account

    + Paid Time Off

    + Holidays

    + Tuition Reimbursement

     

    External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29301) Internal Applicant link

     

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