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    Accounts Receivable Specialist, Clients/ Medical Pract HCS - Buffalo, United States - Catholic Health

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    Description

    Salary:

    USD

    Facility:
    Administrative Regional Training Cntr


    Shift:
    Shift 1


    Status:
    Full Time


    FTE:

    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:
    26278


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