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Job Title: Clerk Billing

Company: Good Samaritan Hospital

City/State: Warwick, NY

Category: Clerical/Administrative Support

Department: General Patient Accounting

Position: Full Time

Hours: Mon - Fri - 8-4 or 9-5

Shift: Day

Req #: 12319

Job Details:

Job Summary:

The Biller oversees the preparation and timely processing of accounts receivable invoices of assigned patient accounts which may include Medicaid, charity care, third party-payers, and self-pay accounts, follows up on past due accounts, and posts third party reimbursements in accordance with established regulatory requirements. This position responds to inquiries and provides information to patients, patient’s family, departmental staff, and insurance representatives.

Responsibilities:

Maintains financial accounts on automated systems. Acts as liaison with Admitting Office, Business Office, and Medical Records, to provide and obtain updated billing information. Responds to inquiries from patients, patient’s family, departmental staff, insurance representatives, and third party payers in writing or by telephone. Corrects and trends electronic denials and suspended and rejected claims from Medicaid or third party payers. Investigates and resolves account discrepancies and determines potential insurance/patient refunds. Investigates denials, follows up with additional information, and rebills or adjusts as necessary. Performs cash posting duties and posts vouchers from various commercial insurance companies; identifies and corrects errors, verifies posting when receipt received from cash. Photocopies and refers denials for follow up. Photocopies and mails Explanation of Benefits forms to patients with co-pays. Reviews reports for delinquent accounts over 180 days, and follows up by re-billing or making account adjustments. Utilizes specialized computer software, including uploading data into McKesson for cash posting and E?Paces for Medicaid. Balances checks and receipts from patients related to Medicaid spend down. Maintains electronic and manual financial records related to payments from patients. Prepares cash and checks for deposit, and maintains records of deposits. Maintains confidentiality of patient information. Effectively uses automated systems to perform work assignments. Performs related duties as assigned.

Qualifications / Requirements:

Experience:

Minimum two years experience in medical billing and customer service in a healthcare setting including utilization of medical billing computer software required Experience in researching patient accounts and reconciling accounts receivable issues with finance department required

Education:

A high school diploma or equivalency required

Licenses / Certifications:

N/A

Other:

Knowledge of Medicare, Medicaid and third party regulations, billing systems. The individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials.