• Billing Rep Rev Cycle

    Baylor Scott & White Health (Albany, NY)


    JOB SUMMARY

    The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare.

     

    Salary

     

    _The pay range for this position is $31,616(entry-level qualifications) - $45,424(highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._

    ESSENTIAL FUNCTIONS OF THE ROLE

    Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits.

     

    Communicate specific problems or concerns to Manager as appropriate.

     

    Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment.

     

    Request or post charge corrections and appropriate credit and debit adjustments to patient accounts.

     

    Correct patient demographic information when new/correct information is received.

     

    Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices.

     

    Identify and bill secondary or tertiary insurances as needed.

     

    Performs other duties as assigned or requested.

    KEY SUCCESS FACTORS

    BENEFITS

    Our competitive benefits package includes the following

     

    - Immediate eligibility for health and welfare benefits

     

    - 401(k) savings plan with dollar-for-dollar match up to 5%

     

    - Tuition Reimbursement

     

    - PTO accrual beginning Day 1

     

    Note: Benefits may vary based upon position type and/or level

    QUALIFICATIONS

    - EDUCATION - H.S. Diploma/GED Equivalent

    - EXPERIENCE - Less than 1 Year of Experience

    As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.