Accounts Receivable Biller -

Mohawk Valley Health System; City of Utica (NY); On-site; USD 28,000 - 37,000; Full time

Job summary

Mohawk Valley Health System in Utica, NY is seeking an A/R Biller to process inpatient and outpatient accounts to payors, ensuring prompt and accurate payment. Experience with Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required, with knowledge of ICD-9/ ICD-10, HCPCS and medical terminology a plus.

Responsibilities include interacting with payors, validating payments based on DRG or rate schedules, adjusting as needed, and maintaining receivables for the

Qualifications

• Two years experience in billing, insurance, office procedures in a medical setting.

Responsibilities

• Promotes a professional working relationship with insurance companies.
• Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule.
• Initiates adjustments to bring accounts to the correct balance and reports trends to management.
• Maintains accounts receivable for the Business Office and calls payors to determine status and secure payment.
• Other duties as assigned

Skills

Billing experience

Insurance billing

Medical terminology

Education

Bookkeeping or accounting course

Tools

Copier

Job description

Job Summary

The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.

Core Job Responsibilities

- Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.

- Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments.

- Maintains account receivables for the Business Office. Makes phone calls to the appropriate payor to determine status of account and secure payment.

- Other duties as assigned

Education/Experience Requirements

Required:

- Two years experience in billing, insurance, office procedures in a medical setting

- Knowledge of general office equipment e.g. copier is required

Preferred:

- Course taken in book keeping or accounting

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Department ACCTS RECEIVABLE & COLLECTION
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule HRLY NON-UNION-8 HR
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $20.04-$26.96