Salary: 20.46-30.70 USD Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 8 hour work days schedules are 7-3:30, 7:30-4, 8-4:30 Summary: The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but are not limited to, the following + Ensures that clients are reimbursed properly and efficiently by verifying patient insurance information, reviewing billing information, verify accuracy of charges. Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + Review and identify errors or issues with billing and correct the issue for billing + Review and correct all response files from electronic submissions + Document all patient accounts with each action taken into appropriate system. + Follow up on all daily correspondence received on a timely basis. + Responsible to keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications. + Follow up on any unpaid/outstanding/denied claims within the payers timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including: + Verify patient's insurance information using Hnet, ePaces, Connex, insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites. + Make appropriate changes to correct the denied claims and submit corrected electronic or paper claims to the appropriate insurance carrier. + Reviews EOB's for denial or partial payment information. + Interacts with insurance companies to resolve issues delaying the collections of accounts, including the use of phone calls, emails, and portals. + Performs other related duties as requested. Responsibilities: Education Requirements + High School diploma + Graduate of a certificate program for Medical Billing Program preferred Experience Requirements + Two years of Medical Billing experience preferred + Certification in Medical Billing/Reimbursement is a plus Knowledge, Skill and Ability + Demonstrates knowledge of third party billing procedures + Knowledge of claims review and process + Strong computer skills (MS Word and Excel preferred) + Excellent written and oral communication skills + Excellent organizational skills + Ability to work well with others + Dependable in both production and attendance + Self-Motivated WORKING CONDITIONS Environment + Normal heat, light space, and safe working environment; typical of most office jobs REQNUMBER: 35142