Merrick, NY, 11566, USA
12 hours ago
A/R Representative II - Out of Network Claims Rep
**Req Number** 104262 Job Description Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log. Job Responsibility + Interviews patients to obtain necessary financial and insurance information. + Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation. + Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator. + Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process. + Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. + Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts. + Follows up on scheduled payments via mail and telephone. + Processes applications for Section 1011, where applicable. + Maintains daily work log of payments collected. + 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. Additional Details: Monday - Friday (8am - 4:30pm) + EHR, Allscripts, US Mon experience, preferred + Out of network bill processing, strongly preferred + Aware of federal and state laws pertaining to out of network claims + Collecting money on claims + Strong phone processes, ability to speak clearly and professionally + Familiar with No Fault and Workers Comp claims of normal processes, specifically for appeals + Familiarity with Workers Compensation Portal and Board for prior auth for Workers Compensation + Familiar with CPT Codes, diagnosis codes, fee schedule + Able to read explanation of benefits, EOB, preferred + Finance experience/background, preferred + Self sufficient, strong work ethic, takes initiative, work claims independently + Working for only Neck and Back surgeries, cervical experience preferred + 3 month training period, paid and provided *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). The salary range for this position is $34,820-$51,950/year It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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