Patient Account Representative

Northwell Health; Town of Huntington (NY); On-site; USD 48,000 - 64,000; Full time

Job summary

Northwell is seeking a billing professional to support physician practices by ensuring efficient billing functions and adherence to department policies. The role involves coordinating with physicians and administrators to promote financial growth and stability in a busy health system.

The ideal candidate has 1–3 years of relevant billing experience, with preferences for pre-authorization, cardiology/vascular billing, and prior medical billing exposure.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Experience with pre-authorization processes preferred.
• Previous medical billing experience preferred.
• Previous Cardiology or Vascular billing experience highly preferred.

Responsibilities

• Interfaces with physicians and administrators to ensure financial growth and stability.
• Assists in monitoring accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
• Assists in resolving complex billing situations.
• Gives guidance and direction to billing/clerical staff regarding billing and office/clerical functions.
• Carries out clinical documentation requests to business office to ensure timely appeals.
• Implements policies and procedures to facilitate billing and maximize case collections.
• Implements improvements for financial management of each billing area.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Education

High School Diploma or equivalent

Job description

Job Description

Assists in monitoring the activities and performance of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures.

Job Responsibility

• Interfaces with physicians and administrators to ensure financial growth and stability.
• Assists in monitoring accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
• Assists in resolving complex billing situations.
• Gives guidance and direction to billing/clerical staff regarding billing and office/clerical functions.
• Carries out clinical documentation requests to business office to ensure timely appeals.
• Implements policies and procedures to facilitate billing and maximize case collections.
• Implements improvements for financial management of each billing area.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Preferred Qualifications:
  • Experience with pre-authorization processes preferred.
  • Previous medical billing experience preferred.
  • Previous Cardiology or Vascular billing experience highly preferred.
  • Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).