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- Maintains financial accounts on automated systems.
- Acts as liaison with Admitting Office, Business Office, and Medical Records, to provide and obtain updated billing information.
- Responds to inquiries from patients, patient's family, departmental staff, insurance representatives, and third-party payers in writing or by telephone.
- Corrects and trends electronic denials and suspended and rejected claims from Medicaid or third-party payers.
- Investigates and resolves account discrepancies and determines potential insurance/patient refunds.
- Investigates denials, follows up with additional information, and rebills or adjusts, as necessary.
- Performs cash posting duties and posts vouchers from various commercial insurance companies; identifies and corrects errors, verifies posting when receipt received from cash.
- Photocopies and refers denials for follow up.
- Photocopies and mails Explanation of Benefits forms to patients with co-pays.
- Reviews reports for delinquent accounts over 180 days and follows up by re-billing or making account adjustments.
- Utilizes specialized computer software, including uploading data into McKesson for cash posting and EPaces for Medicaid.
- Balances checks and receipts from patients related to Medicaid spend down.
- Maintains electronic and manual financial records related to payments from patients.
- Prepares cash, checks for deposit, and maintains records of deposits.
- Maintains confidentiality of patient information.
- Effectively uses automated systems to perform work assignments.
- Performs related duties as assigned.
- Health Insurance
- Dental
- Vision
- Retirement Savings Plan
- Flexible Saving Account
- Paid Time Off
- Holidays
- Tuition Reimbursement
Billing Clerk - Suffern, United States - Health Alliance of Hudson Valley
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Description
Job Details:
Summary:
The Billing Clerk oversees the preparation and timely processing of accounts receivable invoices of assigned patient accounts which may include Medicaid, charity care, third party-payers, and self-pay accounts, follows up on past due accounts, and posts third party reimbursements in accordance with established regulatory requirements.
Responsibilities:
Qualifications/Requirements:
Experience:
1-3 years' experience in medical billing and customer service in healthcare setting required. Experience in researching patient accounts and reconciling accounts receivable issues with finance department required.
Education:
High school diploma or equivalency required.
Licenses / Certifications:
N/A
Other:
Knowledge of Medicare, Medicaid and third- party regulations, billing systems
Special Requirements:
N/A
About Us:
Bon Secours Charity Medical Group
Bon Secours Charity Medical Group, part of Bon Secours Charity Health Systems (BSCHS), a regional network of more than 120 primary care physicians and specialists from a broad array of medical specialties.
BSCHS, a member of WMCHealth Network, includes Good Samaritan Hospital in Suffern, NY, Bon Secours Community Hospital in Port Jervis, NY and St.
Anthony Community Hospital in Warwick, NY.Benefits:
We offer a comprehensive compensation and benefits package which includes: