What are the responsibilities and job description for the Medical Billing Specialist position at Crouse Community Center, Inc.?
Job Summary
The Billing Accounts Receivable Analyst is responsible for processing all Skilled Nursing Facility, Adult Day Care and Rehabilitation Services claims to primary and secondary payers promptly and accurately in order to promote financial stability within the organization. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.
Core Job Responsibilities
- Responsible for all electronic billing
- Analyze payment methodology with the payer contractual agreements and the actual reimbursement to ensure accurate accounts receivables. Follow-up with payers regarding payments and/or denials. Challenge the payer when their remittance is not appropriate or justified.
- Follow-up on all receivables including all co-pays, adjustments and denials.
- Explain the accounting of the patient balance to the patient/guarantor.
- Update patient payer system information.
- Participate in appropriate agency meetings and quality improvement and utilization review activities of the organization.
- Ensure that all information is kept confidential and respect the Patient’s Bill of Rights. Comply with all state and federal regulations regarding patient data and safety.
- Performs related duties as assigned.
Education/Experience Requirements
REQUIREMENTS:
- High School diploma or GED.
- 2 years of billing/corporate customer service experience.
- Knowledge of billing for Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.
- Excellent computer, verbal and written communication skills.
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Microsoft Excel: 2 years (Required)
- Medical Billing: 2 years (Required)
Ability to Commute:
- Morrisville, NY 13408 (Required)
Ability to Relocate:
- Morrisville, NY 13408: Relocate before starting work (Required)
Work Location: In person
Salary : $20 - $24