Associate Patient Account Representative

Northwell Health; Village of Lake Success (NY); On-site; USD 42,000 - 56,000; Full time

Job summary

Northwell Health is seeking a Billing/Accounts support role focused on posting charges, processing payments, and ensuring accurate coding across physician specialties. You will review coding accuracy, communicate with physicians on discrepancies, and manage correspondence with insurers and patients.

The position requires a High School Diploma and 0–1 year of relevant experience, with opportunity to grow in a large medical network. Preparation for insurance appeals may be part of duties.

Qualifications

• Experience with medical billing and payer coding is preferred.
• Proficient in posting charges and reading explanation of benefits.

Responsibilities

• Performs charge and payment entry and ensures accurate coding for physician specialties.
• Aids review of coding and identifies conflicts in rules.
• Notifies physicians when discrepancies are identified for correction.
• Handles mail and open queue charges to maintain queue status.
• Reads insurance EOBs and responds to payer edits, rejections, and denials.
• Creates letters and appeal packages to insurance companies and patients.
• Maintains organized files and performs related duties as needed.

Skills

Billing

Medical coding

Data entry

Communication

Education

High School Diploma

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; identify 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).