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Accounts Receivable Specialist, Clients/ Medical Pract HCS

Catholic Health System
Buffalo, NY Full Time
POSTED ON 2/8/2025
AVAILABLE BEFORE 5/5/2025

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 : M-F, 8am- 4 : 30pm hybrid remote option after successful completion of 90 day probationary period in office

Summary :

  • 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.

The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but are not limited to, the following :

  • 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
  • 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.
  • 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.
  • 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 : 30295

    Salary : $20 - $31

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