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Senior Billing Clerk

Alice Hyde Medical Center
Alice Hyde Medical Center Salary
Malone, NY Full Time
POSTED ON 2/8/2025
AVAILABLE BEFORE 5/4/2025

Building Name : AHMC - Alice Hyde Medical Center

Location Address : 133 Park Street, Malone New York

Regular

Department : AHMC - Patient Accounting

Full Time

Standard Hours : 40

Biweekly Scheduled Hours :

Shift : Day

Primary Shift : 8 : 00 AM - 4 : 30 PM

Weekend Needs : None

Recruiter : Abby Luck

After a successful 90 day training period this position may be eligible for a hybrid work arrangement working 3 days remote and 2 days onsite in Malone, NY.

The Senior Billing Clerk resolves patient accounts by performing claims processing, denial management and follow-up activities to effectively collect balances due- maximizing reimbursement while maintaining favorable public relations. Part of a payor team, this position is assigned a specific portion of the accounts receivable and is held accountable for the activity within the assigned A / R.

Specific responsibilities include :

  • Submitting of facility related medical claims to insurance and third party payers
  • Communicating effectively with coworkers, Health Information Services, Information Technology and charging departments to resolve charging and coding related queries
  • Reviewing, preparing and submitting electronic and paper claims for accuracy and completeness, obtaining and updating missing information to clear all edits before release
  • Monitoring and following up on unpaid claims until resolved; may include calls, writing appeals, providing records etc.
  • Researching and escalating denied, disputed, improper claim remit trends to management where appropriate
  • Analyzing financial transactions to answer patient queries
  • Completing assigned payer audits in timely manner

Job Requirements

  • High School graduate or equivalent required.
  • Computer skills required.
  • A minimum of two (2) years of healthcare insurance billing training and experience in a health-related facility preferred.
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