Collection Billing Associate

KPH HEALTHCARE SERVICES, INC; City of Rochester (NY); On-site; USD 38,000 - 68,000; Full time

Job summary

KPH Healthcare Services, Inc in Rochester, NY is seeking staff for billing and accounts receivable support. The role includes handling face-sheets, census entries, and ensuring accurate billing for residents and facilities.

You will verify primary and secondary insurances, perform complex account reconciliations, manage refunds, and re-bill Medicaid and other claims as needed. Training and supervision are provided as part of the role.

Responsibilities

• Face-sheet and census entry to ensure accurate billing.
• Verifying primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Account reconciliation and account refund requests
• Complex account reconciliation
• Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
• Track and re-bill pending Medicaid accounts
• Re-bill claims as needed
• Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc.). Initiate corrective action plan and notify management.
• Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
• Recognize and rectify any errors made within an account
• Set up Lawson accounts for facility and private pay
• Month-end closing process within the scheduled deadline.
• Assist in special projects as required
• Works with minimal supervision
• May assist in orienting and training new employees
• Responsible for completing all mandatory and regulatory training programs

Job description

• Face-sheet and census entry to ensure accurate billing.
• Verifying primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Account reconciliation and account refund requests
• Complex account reconciliation
• Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
• Track and re-bill pending Medicaid accounts
• Re-bill claims as needed
• Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc.). Initiate corrective action plan and notify management.
• Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
• Recognize and rectify any errors made within an account
• Set up Lawson accounts for facility and private pay
• Month-end closing process within the scheduled deadline.
• Assist in special projects as required
• Works with minimal supervision
• May assist in orienting and training new employees
• Responsible for completing all mandatory and regulatory training programs