Billing Representative - Hybrid Remote

White Plains Hospital Inc; Des Moines (IA); A distancia; USD 38.000 - 57.000; Jornada completa

Descripción de la vacante

The Patient Accounts Billing Representative at White Plains Hospital Medical Center is responsible for reviewing unbilled claims and bills, ensuring timely billing and claim resolution to expedite payment. This role processes claims in the HIS system, handles re-billing and follow-up on aged accounts to maximize cash flow.

Key duties include applying edits, refunds when needed, and coordinating with third-party payers.

Formación

• High School Required.
• 1-3 years Clerical and business aptitude with 1-2 years of Hospital experience required.
• Less than 1 year Medical terminology Preferred.
• Clerical experience required (Medium proficiency).
• Basic Computer skills (Medium proficiency).
• Patient Financial Svcs Spec - HBI Learning Must be completed during onboarding process Upon Hire Required.

Responsabilidades

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
• Insure adherence to federal and state billing regulations.
• Completes accurate billing to all third-party insurance carriers.
• Monitors host system and biller scrubber to insure timely resolution of unbilled accounts.
• Completes review of third-party trial balance reports within the current month.
• Researches and initiates refunds to patients or insurance carriers as needed.
• Sends inquiries to patients regarding inaccurate or incomplete information.
• Completes charge adjustments and allowances entries on accounts as needed.
• Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes.
• Processes rejections on third party accounts.
• Reviews mail correspondence and responds accordingly.
• Review on-line billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS.
• Assists with telephone calls as needed.
• Completes rebilling process for late charges daily.
• Monitors host system and bill scrubber for billing delays and to expedite processing.
• Performs all other related duties as assigned

Conocimientos

Clerical experience

Medical terminology (preferred)

Educación

High School Diploma

Herramientas

HIS system

Biller software

Descripción del empleo

City/State:

White Plains, New York

Department:

Admitting

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8 AM-4 PM

Hours Per Pay Period:

75

Pay Rate/Range:

$27.61 - $41.42

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.

Job Summary

The Patient Accounts Billing Representative is responsible for review of unbilled claims and bills, assure timely billing and claim resolution to expedite payment. Process all accounts in order to minimize billing time and maximize cash flow. Completes the editing of claims in the HIS system. Completes the processing of claims either on paper or electronically to third party carriers. Completes follow-up on aged accounts as directed. Review trial balance reports and processed late charges.

Essential Functions

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors
• Insure adherence to federal and state billing regulations
• Completes accurate billing to all third-party insurance carriers
• Monitors host system and biller scrubber to insure timely resolution of unbilled accounts
• Completes review of third-party trial balance reports within the current month
• Researches and initiates refunds to patients or insurance carriers as needed
• Sends inquiries to patients regarding inaccurate or incomplete information
• Completes charge adjustments and allowances entries on accounts as needed
• Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes
• Processes rejections on third party accounts
• Reviews mail correspondence and responds accordingly
• Review on-line billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS
• Assists with telephone calls as needed
• Completes rebilling process for late charges daily
• Monitors host system and bill scrubber for billing delays and to expedite processing
• Performs all other related duties as assigned

Qualifications

• High School Required
• 1-3 years Clerical and business aptitude with 1-2 years of Hospital experience required Required
• less than 1 year Medical terminology Preferred
• Clerical experience required (Medium proficiency)
• Basic Computer skills (Medium proficiency)
• Patient Financial Svcs Spec - HBI Learning Must be completed during onboarding process Upon Hire Required

White Plains Hospital Medical Center is an equal employment opportunity employer. White Plains Hospital Medical Center 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.