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HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
Accounts Receivable Representative
GENERAL SUMMARY OF DUTIES:
- Reviews and processes correspondence from patients and insurance carriers.
- Insurance Follow-up with primary, secondary, and tertiary claims.
- Denial Management to include payer denials and denial solutions.
- Submitting appeals to carriers for reasons such as medical necessity and bundling
- Credit Balance Management to include reviewing and resolving payment application errors.
- Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports.
- Annotates adjustments/updates to patient accounts.
- Performs other related duties as required.
- Reports to A/R Manager.
Qualifications:
- Computer skills and knowledge of relevant software (Microsoft Office and Excel).
- Knowledge of medical coding is a plus.
- Education: High School Diploma or equivalent, with some college preferred.
- Experience: Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.