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Billing Specialist

Cayuga Health System
Montour, NY Full Time
POSTED ON 2/4/2025
AVAILABLE BEFORE 5/3/2025

Job Description

Job Description

Billing Specialist - Fulltime - Days

Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs.

The SNF Billing Liaison provides direct, daily operational front office support in a manner consistent with Cayuga Health's standards. The SNF Billing Liaison will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self-motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills.

Roles and Responsibilities :

  • Meets with residents and representatives in collaboration with social work upon admission and readmission to establish Seneca View billing services and points of contact
  • Responsible for answering telephones and coordinating new admission and readmission processing within electronic medical records and billing systems.
  • Assists in initiating resident admissions within the electronic medical records system
  • In coordination with SNF Billing Representatives and Seneca View Social work, assists residents and representatives in initiating applications for supplemental financial assistance where necessary, verifies patient accounts insurance coverage and reviews financial obligations, copays etc.
  • Advises residents and representatives of the effect of insurance termination in and Medicare coverage. Makes phone calls upon denial notifications of insurance and Medicare coverage termination.
  • Assists administration and Billing department with completion of 3559 with Department of Social Services.
  • Collaborates with SNF administration, residents and representatives to collect and apply cash receipts or other payments
  • Works with SNF Administration to establish resident profiles for demographics, billing information, insurance information upon admission and readmission and contact information.
  • Acts as the billing liaison between Seneca View, Billing Department, and SNF Administration to collaborate all billing needs with residents and representatives
  • Will meet with residents and representatives to review health insurance and financial liability coverage upon admission and readmission. Will work with residents and representatives in conjunction with Social Work and Billing to outline financial resources where appropriate i.e., Medicaid or Medicare services and or community resources.

Required Skills and Experience :

  • High School Diploma / GED
  • Preferred Skills and Experience :

  • 1 year Skilled Nursing Home or Medical Billing Insurance experience preferred
  • Previous experience with long term care insurance authorization
  • Ability to obtain preauthorization's and reauthorizations
  • Maintains open collaboration with referral sources and providers to ensure referrals and feedback is maintained.
  • Ability to apply an understanding to carry out instructions as provided by leadership, and ability to process and screen referrals for placement.
  • Ability to coordinate and maintain open communication with internal customers and external customers.
  • Physical Requirements :

  • Administrative Office Role, reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position.
  • Location, Travel and Shift Requirements :

  • Onsite at Seneca View Skilled Nursing Facility - 220 Steuben Street Montour Falls, NY14865
  • 100% in office - Day Shift
  • Pay Range Disclosure :

  • 18.00 to $22.00 per hour
  • Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.

    We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.

    If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org.

    I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.

    I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment / post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment / post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.

    I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.

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