Medical Biller

Community Memorial Hospital, Inc.; New York (NY); On-site; USD 28,000 - 33,000; Full time

Job summary

Community Memorial Hospital, Inc. in Hamilton, NY is seeking a detail-oriented Billing Specialist to review and process insurance claims and patient accounts.

You will monitor payer updates, post payments, and prepare daily cash reports to ensure accurate financial records. Responsibilities include reviewing and following up on unpaid claims, submitting claims and rebills, and coordinating with providers to ensure timely filing.

Qualifications

• Experience with medical billing and claims processes.
• Ability to monitor payer bulletins and updates.
• Strong attention to detail in posting payments and edits.

Responsibilities

• Review assigned claims daily for accuracy.
• Monitor payer updates and share with team.
• Review and work accounts receivable and follow up on unpaid claims.
• Post insurance and personal payments accurately and timely.
• Prepare and ensure accuracy of daily cash reports.
• Submit claims/rebills to payers in manual or electronic format.
• Monitor bill holds and expedite resolutions.
• Use payer websites as needed to complete tasks.
• Transfer, adjust, and refund payments when appropriate.
• Handle courteous telephone interactions with patients and staff.
• Assist patients with appeals, grievances, and complaints to resolution.
• Prepare Good Faith Estimates.
• Coordinate between coding/billing and providers for timely posting.
• Support team and promote teamwork.

Skills

Claims processing

Billing accuracy

Payer updates

Accounts receivable

Communication

Job description

Community Memorial
Hamilton, NY 13346, USA

• Pay or shift range: $20 USD to $24 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

• Reviews assigned claims daily for accuracy
• Monitors payer updates and bulletins and shares with coworkers/manager as appropriate
• Responsible for reviewing and working accounts receivable and following up on unpaid claims with insurance companies
• Post insurance and personal payments in an accurate and timely manner
• Prepare and ensure accuracy of daily cash report
• Performs requires edit corrections and submits claims/rebills to payers in a manual or electronic format to ensure accurate and timely filing
• Monitors assigned bill holds and other work lists and ensures expeditious resolution
• Effectively utilizes payer websites as needed in the execution of daily tasks
• Transfer, adjust, and refund payments when appropriate for accounts
• Handles telephone interactions with courtesy and respect ensuring appropriate interactions with patients and staff. Responds promptly to all requests
• Must be able to understand and direct patients with appeals, grievances, and complaints to appropriate resolution
• Prepares Good Faith Estimates
• Interacts with other departments, ensuring coordination between coding/billing and providers to ensure timely posting and billing of all claims
• Provides positive and productive support to the team and promotes teamwork
• All other duties as assigned by the manager

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.