Associate Patient Account Representative

Northwell Health; New York (NY); On-site; USD 42,000 - 64,000; Full time

Job summary

Northwell Health is seeking a Billing Specialist to perform billing, collections, third party reimbursements, and data entry, assisting in posting charges to accounts. The role requires careful entry and interaction with insurers and patients.

Responsibilities include reviewing coding accuracy, notifying physicians of discrepancies, handling denials, preparing appeal packets, and maintaining organized files. The position emphasizes professional communication and compliance with ADA guidelines.

Qualifications

• High school diploma or equivalent required.
• 0-1 year of relevant experience preferred.

Responsibilities

• Performs charge and payment entry; ensures correct coding for physician specialties.
• Aids review of physician coding and flags potential rule conflicts.
• Notifies physician when discrepancies are identified for correction.
• Coordinates incoming mail with open queue charges to maintain status.
• Reads insurance explanations of benefits and responds to payer edits and denials.
• Creates detailed letters to insurances and patients.
• Assembles appeal packages for insurers.
• Communicates professionally with insurers and patients.
• Maintains organized files of incoming and completed work.
• Performs related duties as required under ADA and related definitions.

Skills

0-1 years of relevant experience

Education

High School Diploma or equivalent

Job description

Job Description

Performs billing, collections, third party reimbursements, computer data entry and retrieval.
Helps in posting charges to accounts.

Job Responsibility

1. Performs charge and payment entry; also ensures accurate completion of coding for all assigned physician specialties.
2. Aids review of physician's coding and identify possible conflicts in rules.
3. Notifies physician when discrepancies are identified for correction.
4. Coordinates incoming mail with open queue charges to maintain queue status.
5. Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
6. Creates detailed, well-versed typed letters to insurances and patients.
7. Creates effective appeal packages to submit to insurances.
8. Communicates in an effective professional manner when speaking with insurances and patients.
9. Maintains organized files of incoming and completed work.
10. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 0-1 years of relevant experience, required.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).