This position is primarily responsible for billing and other responsibilities associated with Medicaid, Private Insurances and self-pay participants. This position reports directly to the Billing Manager.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Core duties and responsibilities include the following. Other duties may be assigned.
· Creates and issues bills for services rendered.
· Reconciles billing with rendered services.
· Tracks payments.
· Reconciles billing issues.
· Manages status of accounts and balances, identifies inconsistencies.
· Collects and records billing data.
· Prepares thorough reports on billing activity with clear, reliable data.
· Follows up on outstanding payments due.
· Continuously updates accounts receivable.
· Verifies all entries made by clinical staff and makes corrections if necessary.
· Verifies all participants have active applicable insurances. Verifies eligibility for Medicaid and private insurances.
· Rebills insurance companies or other third parties to secure payments.
· Responds to participant billing and statement inquiries.
· Assesses payment for self pays and collects supporting documentation.
· Establishes payment plans to assist participants with hardships.
· Contacts participants regarding outstanding balances.
· Maintains communication with insurance companies.
· Ensures compliance with insurance companies.
· Identifies and resolves problems in a timely manner.
· Gathers and analyzes information skillfully.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND/OR EXPERIENCE:
· Associates Degree (preferred) with 2 years billing experience, or;
· HS Diploma or equivalent with 5 years billing experience.
· Proven experience as Billing Specialist
· Adherence to laws and best practices in regards to dealing with customers and data
· Comfortable dealing with numbers and the processing of financial information
· Excellent knowledge of MS Office (particularly Excel) and ER software (JDE or other)
· Results-driven and patient
· High degree of attention to detail and trustworthiness
· Knowledge of billing software, (Preferably EPACES, ECR 10e11, Insync Qualifact)
Job Type: Part-time
Pay: $25.00 per hour
Expected hours: 21 per week
Schedule:
- Monday to Friday
Ability to Relocate:
- Corona, NY 11368: Relocate before starting work (Required)
Work Location: In person