Hospital Care Investigator (000494)

Diverse Lynx; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Billing Specialist to join their team. In this role, you will be responsible for processing claims, auditing patient accounts, and providing excellent customer service. Your attention to detail will ensure accurate billing and timely follow-ups with patients and insurance companies. This position offers a dynamic work environment where you can grow your skills while contributing to the efficiency of the billing process. If you are organized, detail-oriented, and ready to make a difference, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K Plan

Qualifications

• Experience in billing and claims processing is essential.
• Strong attention to detail for auditing patient accounts.

Responsibilities

• Complete both paper and electronic claims promptly.
• Collaborate with departments to ensure accurate billing.
• Audit patient accounts for accuracy and apply adjustments.

Skills

Billing Customer Service

Computer Systems Utilization

Claims Processing

Audit Skills

Communication Skills

Job description

Job Responsibilities

1. Complete both paper and electronic claims promptly.
2. Effectively utilize computer systems to document patient information clearly and thoroughly.
3. Collaborate with other departments to complete billing on accounts.
4. Process rejections, denials, and other correspondence in a timely manner.
5. Handle pre-authorizations, document responses in the system, and follow up as needed.
6. Audit patient accounts for accuracy and apply necessary adjustments.
7. Provide billing customer service and ensure accurate documentation of conversations.
8. Process statements, enter information into databases, and review past due bills, following up on overdue accounts.
9. Generate Patient Balance Aging and Insurance Aging reports, and follow up with patients and insurance companies accordingly.
10. Arrange payment schedules with patients.
11. Refer accounts requiring escalation to the Supervisor promptly.
12. Attend training sessions to perform daily functions effectively.
13. Perform other duties as assigned by the Manager or Supervisor.

Additional Information

This position offers a pay range of *** hrly - *** hrly, which RightSourcing (a part of Magnit) reasonably expects to pay. Actual pay may vary and may include benefits such as Medical, Dental, Vision, and 401K. This description is not exhaustive of all duties and responsibilities associated with the role.