ACCOUNTS RECEIVABLE SPECIALIST MEAC

2700 Montefiore Einstein Advanced Care; Nanuet (NY); On-site; USD 33,000 - 47,000; Full time

Job summary

Montefiore Einstein Advanced Care is seeking a Revenue Cycle specialist in New York to review charges for accuracy before insurers, handle coding edits and eligibility checks, and ensure timely posting of all payments. You will use Epic, Connex, ePaces, Evicore, Availity and other tools to optimize claims processing and reimbursement workflows.

Ideal candidates will have strong attention to detail, excellent written and verbal communication, and familiarity with HIPAA guidelines.

Qualifications

• Experience with HIPAA guidelines and health insurance reimbursement.
• Independent, detail oriented with strong analytical skills.
• Experience using Epic billing system preferred.

Responsibilities

• Review posted charges for accuracy before releasing to insurances.
• Process coding edits (CCI) and verify patient insurance coverage.
• Review medical records to ensure accuracy of posted charges and update demographics/insurance info.
• Communicate claim logic issues and reimbursement trends to management.
• Post payments, refunds, and adjustments; ensure timely posting within 3 business days.
• Research unidentified cash by contacting payers and using payer websites.

Skills

Analytical skills

Verbal & written communication

Detail oriented

Tools

Epic

Connex

ePaces

Evicore

Availity

EncoderPro

CMS policies

Microsoft Word

Microsoft Excel

Job description

City/State: Nanuet, New York Grant Funded: No Department: MEAC - Revenue CYCLE Work Shift: Day Work Days: MON-FRI Scheduled Hours: Hours Vary Scheduled Daily Hours: 8 HOURS Hourly Rate: $28.85 For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

This position includes but is not limited to review of posted charges for accuracy prior releasing them to insurances. This includes working coding edits, CCI edits, reviewing medical records to ensure accuracy of posted charges, working registration errors, verification of patient insurance coverage, updating both patient demographic and insurance information. Communication of claim logic issues, reimbursement/rejection trends and errors to management. Use of various billing systems such as but not limited to: Epic, Connex, ePaces, Evicore, Availity for checking eligibility. Use of coding web tools such as EncoderPro, review of CMS policies. Use of Word and Excel and any other related tasks. Responsible for posting all payments received for accounts receivable. Payment posting, refund posting, adjustment posting. Requirement that all payments are posted timely to system within 3 business days. Research required for all unidentified cash including contacting payers by phone, utilization of payer websites and other internal departments for information Surgical coding experience is preferred. Experience in the Epic billing system is strongly preferred. Independent, detail oriented individual with strong analytical skills. Must have good verbal and written communication skills. Must have knowledge of Health Insurance reimbursement and billing requirements. Must be familiar with HIPAA guidelines.

Montefiore Einstein Advanced Care is an equal employment opportunity employer. Montefiore Einstein Advanced Care will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. Healthcare professionals can advance their careers at Montefiore Einstein Advanced Care. Our highly knowledgeable, interdisciplinary team is looking for new partners to bring an unparalleled healthcare experience to Westchester and Manhattan.

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