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Catholic Health Accounts Receivable Specialist, Clients/ Medical Pract HCS in Buffalo, New York

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: 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: 30291

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