What are the responsibilities and job description for the Accounting Clerk position at Jamaica Hospital Medical Center?
Job Details: Billing and Claims Specialist
Jamaica Hospital Medical Center, a member of the Medisys Health Network, is a 404-bed fully accredited community-based teaching hospital and Level I Trauma and Stroke Center. We provide general medical, pediatric, and psychiatric emergency services, ambulatory care on and off-campus, ambulatory surgery, and a broad spectrum of diagnostic and treatment services.
Jamaica Hospital was ranked among 2021’s Best Hospitals in America and is the proud recipient of the Health grades 2021 America’s 250 Best Hospitals award.
We are currently seeking experienced Accounting Clerks for our billing department. This role is crucial in ensuring accurate claims submission, billing support, and account reconciliation for patient services.
Primary Responsibilities:
- Prepare and submit accurate claims to insurance companies, ensuring compliance with all regulations and reimbursement methodologies (e.g., DRG, APC, APG).
- Verify insurance eligibility, benefits, and coverage prior to billing to minimize denials.
- Reconcile patient accounts, resolve billing discrepancies, and follow up on unpaid claims to ensure timely payments.
- Monitor accounts for overdue payments and initiate collection efforts in alignment with hospital policies.
- Maintain a thorough understanding of medical coding (CPT4, ICD10, HCPCS) and provider contract concepts to support claims processing and resolution.
- Utilize advanced MS Excel functions, including pivot tables and formulas, to create and analyze standardized billing reports.
Work Schedule:
- Days: 8:30 AM - 5:00 PM (Full-Time)
Requirements:
* Experience:
- 1–2 years of inpatient and/or outpatient hospital billing experience required.
- Experience processing Facility, Ancillary, ER, and Clinic claims.
- Knowledge of facility reimbursement methodologies (e.g., DRG, APC, APG).
* Education:
- Associate’s degree in healthcare or business-related field from an accredited institution (required).
- Bachelor’s degree or higher (preferred).
* Skills & Knowledge:
- Proficiency in medical terminology and coding (CPT4, ICD10, HCPCS).
- Strong understanding of billing principles and claims resolution practices.
- Knowledge of bookkeeping and collections preferred.
- Advanced MS Excel skills (pivot tables, formulas, report creation).
* Certifications:
- Coding certifications such as CPC, COC, CCS, CIC, RHIT (preferred).
- Other:
- Bilingual Spanish is a plus.
What We Offer:
We provide a competitive salary, an excellent benefits package, growth opportunities, and the chance to work with a dynamic team of healthcare professionals.
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Job Type: Full-time
Pay: $23.80 - $24.33 per hour
Schedule:
- Monday to Friday
Application Question(s):
- Do you have any of the following Coding certificates as of CPC, COC, CCS, CIC, RHIT (preferred)?
Education:
- Associate (Preferred)
Experience:
- Inpatient and outpatient hospital billing: 1 year (Required)
Language:
- Bilingual Spanish (preffered) (Preferred)
Work Location: In person
Salary : $24 - $24
