Billing & Medical Records Clerk

Kinney Drugs; Village of Gouverneur (NY); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Billing Specialist to assist in the billing and cash application of Medicaid and Medicare claims. The role involves managing accounts receivable, interacting with insurance companies, and ensuring compliance with regulatory training. Candidates should have a high school diploma, with an AS degree preferred, and experience in medical billing. This position is based in Gouverneur or Syracuse, NY.

Qualifications

• 2 years Medicaid, Medicare and medical billing experience preferred.
• General knowledge of Accounting, Insurance processing and/or Pharmacy Store Operations preferred.

Responsibilities

• Assist in billing and cash application of Medicaid/Medicare claims.
• Manage open accounts receivable and rebilling.
• Help with collection efforts of medical copays.

Skills

Billing

Customer Interaction

Regulatory Training

Education

High School Diploma

AS Degree in Business Administration

Job description

Overview

Scope of Responsibilities: Works under minimal supervision. Responsible for orienting and training new employees.

Job Summary: Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims. Manage open accounts receivable which requires rebilling within timely filing limits, inquiries to various insurance companies, and inquiries to customers. Help with collection efforts of medical copays and Medicare copays from customers.

*This position is not remote and is in office only. Can be filled in either Gouverneur or Syracuse, NY. *

Responsibilities

Job Duties:

• Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
• Oversight of the electronic payment application for Medicare
• Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes.
• Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls.
• Process check requests for customer and insurance company refunds.
• Create accounts and use various applications to move balances for customers with denied charges.
• Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims.
• Interact with KPH Employees (Store and Corporate) and various outside agencies.
• Responsible for completing all mandatory and regulatory training programs.
• Perform other duties as assigned.
  
  

Qualifications

Educational Requirements:

• Minimum: High School Diploma
• Preferred: AS Degree or Higher in Business Administration or related field
  
  

Experience

• Preferred: 2 years Medicaid, Medicare and medical billing experience
• Preferred: General knowledge of Accounting, Insurance processing and/or Pharmacy Store Operations.
  
  

Special Conditions Of Employment

• Initial and continuous exclusion and sanction/disciplinary monitoring
• Drug Test
  
  

Compensation

$17.00 - $18.00 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.Â

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

CORP1