Associate Patient Accounts III (JR232970)

Montefiore St. Luke's Cornwall; New York (NY); On-site; USD 52,000 - 70,000; Full time

Job summary

ViziRecruiter, LLC. is seeking an experienced Medical Billing Specialist to manage billing follow-up for primary and secondary insurance balances. The role requires two years of hospital or physician billing experience and proficiency with electronic claims submissions.

Candidates should know UB04, CPT, and ICD-10, with HISS, Meditech, and nThrive familiarity preferred. A Medical Billing/PFS or coding certification within 90 days is required, along with strong MS Word skills and fluent English

Qualifications

• Two years' recent hospital or physician billing experience.
• Experience with electronic claims submission.
• Knowledge of UB04, CPT and ICD-10.
• HISS system knowledge; Meditech and nThrive preferred.
• Certification in Medical Billing or PFS/coding within 90 days.
• Proficient with Microsoft Word for writing appeal letters.
• Must read/write/communicate in English.
• Healthcare billing or patient financial services certification required.
• Certification of Billing, PFS or coding from HFMA, AHIMA, or similar within 90 days.

Responsibilities

• Responsible for accurate and timely follow-up on all primary and secondary insurance balances to ensure payments are received in accordance with the payer policy and/or Hospital contracts.
• Follow up on insurance balances to ensure payments are received as per payer policies and hospital contracts.

Skills

English communication

Documentation & writing

Education

High School Diploma or GED

Associate degree (AA/AS) preferred

Tools

HISS system

Meditech

nThrive

Microsoft Word

Job description

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

Overview

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.

Responsibilities

Responsible for accurate and timely follow-up on all primary and secondary insurance balances to ensure payments are received in accordance with the Payer policy and/or Hospital contracts.

Requirements

• High School Required.
• AA or AS Preferred.
• Minimum two years' recent hospital or physician billing with experience in all major payers Required.
• Experience with electronic claims submission and be well organized Required.
• Knowledge of UB04, CPT and ICD-10 required as well as specific knowledge in one of these areas of billing CMS, Medicaid, BC and/or Commercial.
• Must have HISS system knowledge, Meditech and nThrive preferred.
• Must be proficient with Microsoft Office, with a required skill of writing appeal letters in Microsoft Word.
• Able to read, write, and communicate in English.
• Medical Billing or Patient Financial Services Certification Required.
• Certification of Billing, PFS or coding through credited bodies such as HFMA, AHIMA, HBI, etc. within 90 Days Required.