Work Week: Monday – Friday – Full Time
Job Responsibilities:
- Posts facility charges along with diagnosis & procedure codes, ensuring demographic & insurance information is accurate and correct insurance order assigned.
- Responsible for submitting claims, electronic & hard copy.
- Performs various collection activities including contacting insurance companies for status of claims via web or phone as well as patients by phone regarding unpaid balances.
- Answers inquires and correspondence from patients and insurance companies, including resolving patient billing complaints.
- Posts payments from all payers, and patients including electronic payments, EFTS, credit cards, etc. Balances and prepares daily deposit. Applies New York State surcharge as applicable.
- Works denials and prepares appeals as necessary.
- Researches credit balances and refunds payers & patients as appropriate.
- Prepares monthly patient statements.
- Performs various clerical responsibilities (fax, scanning, telephone calls, etc.).
- Participates in educational activities.
- Excellent customer service skills and time management a must.
Other Duties and Responsibilities:
- Performs other duties as assigned.
Qualification Standards:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge/Skills/Abilities:
- Knowledge of insurance guidelines. Including Medicare, NYS Medicaid, Excellus BC/BS and various commercial payers.
- Knowledge of billing and collection practices.
- Knowledge of basic medical coding and third party operating procedures and practices.
- Skill in establishing and maintaining effective internal and external working relationships.
- Ability to enter accurate data and examine insurance documents.
- Ability to deal courteously with patients, staff and others.
- Ability to communicate effectively and clearly.
Education:
- High school diploma or GED. Billing certificate preferred.
Experience:
- Minimum 2 years medical coding, billing and collection experience and/or training in Facility Billing.
- Experience in free standing outpatient facility billing preferred.
Mental Demands:
- Ability to handle various tasks simultaneously, organize, prioritize, make decisions and work efficiently and effectively under deadlines.
- Ability to express oneself in a clear, concise and organized manner both verbally and in writing.
- Ability to think through a problem, analyze and break it down into parts to resolve or come up with a logical solution.
- Ability to exercise good judgment, keeping in mind company policies and procedures as guidelines.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The employee will use hands to finger and handle or feel; computer keyboard and mouse will be used on a regular basis during the work day.
- The employee must be able to speak and hear; phone work will be required on a regular basis.
- Specific vision abilities required by this job include close vision, and ability to adjust focus; will use the computer continuously throughout the work day.
Work Environment:
- The employee is subject to inside environmental conditions.
- The noise level in the work environment is usually moderate.
- The environment is fast-paced and requires the ability to rapidly accept change, handle multiple tasks, and set priorities.
- This position will be allowed to work from home after initial training.
Human Relations:
- Interacts extensively with patients, coworkers and physicians utilizing facility.
Materials and Special Equipment Used:
- Computer, mouse, telephone, printer.
- Computerized billing system.
Rewards for working at SOS, 17 PTO Days Annually, 7 1/2 Paid Holidays. Monday – Friday work week, Medical and Dental Benefits, 401K, Life Insurance, LTD.
Learn More About the Benefits Working at SOS
Pay Range: $17.00 to $20.00 Based on Experience