Patient Acct Clerk

Westchester Medical Center Health Network; Town of Mount Pleasant (NY); On-site; USD 35,000 - 48,000; Full time

Job summary

Westchester Medical Center Health Network is seeking a Patient Accounting Clerk to process insurance claims for patient services and manage billing records. You will submit claims to third-party payers and reconcile data in an automated system to keep receivables accurate.

The role requires strong communication skills, comfort with data entry across multiple programs, and attention to detail in a fast-paced hospital setting. Training is provided; a high school diploma is required.

Qualifications

• Billing experience preferred.
• High school diploma or equivalency required.
• Comfort with data entry across multiple patient access programs.

Responsibilities

• Prepares and submits claims to third party payers to obtain reimbursement for patient care.
• Enters and reconciles billing data in automated systems to update receivable status.
• Requests medical records or admitting staff for clarification of diagnosis, coverage or other details.
• Collaborates with Admitting, Business Office, and Medical Records to update billing information.
• Communicates with carriers and other payers by mail or phone to determine proper billing status.
• Maintains and updates patient files with billing information.
• Handles routine billing inquiries from patients and third party payors.

Skills

Communication skills

Data entry

Problem solving

Attention to detail

Multitasking

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

MS Office

Job description

Job Summary

The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided to patients at Westchester Medical Center. Responsibilities include initial billing, investigation and reconciliation of problem claims, insurance follow up, filing, and other clerical tasks.

Responsibilities

• Prepares and submits claims to third party payers to obtain reimbursement for patient care.
• Enters and reconciles billing and payment data on an automated system to maintain and update receivable status of patients' account.
• Makes inquiries of medical records and admitting staff for clarification of diagnosis, insurance coverage or for other details necessary for the completion of required forms and maintenance of records.
• Interacts with the Admitting Office, Business Office, or Medical Records Department to provide updated billing information.
• Communicates with carriers and other third party payers by means of correspondence or by telephone to determine proper billing and receivable status.
• Maintains and updates files and patient records with pertinent billing information.
• Handles routine billing inquiries from patients, third party payors and other hospital staff.

Qualifications/Requirements

Experience: Billing experience preferred. Will provide training.

Education: High school or equivalency diploma, required.

Licenses / Certifications

Other: Possess strong communication skills, and Microsoft office aptitude (Word/Excel/Outlook. Must be comfortable with data entry utilizing multiple patient access programs and software. Knowledge of word processing and excel spreadsheets. Work effectively in a multi task fast paced environment prioritizing and completing tasks in a timely manner. Problem solving skills and attention to detail to assess and resolve conflict in a timely manner. Proficient in oral and written communications. Handles difficult or upset callers with the utmost professionalism and compassion.

Special Requirements

Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial authorizations. Microsoft office products such as Excel, Word and Outlook. Document imaging systems and vendor management.