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SalaryGENERAL DESCRIPTION:
Provide MEDICAL BILLING ADMINistrative support to the Bill Unit supervisor and WC Claims department to ensure medical and expense bills are processed and recorded correctly.
This job description in no way states or implies that these are the only duties to be performed. You will be expected to follow any other job-related instructions and to perform other job-related duties as requested by your supervisor.
RESPONSIBILITIES:
- Mail checks to provider with copy of EOB/Invoice.
- Respond to calls/email inquiries within 24 hrs. of receipt.
- Process and mail denial forms for full or partial payment of bills within 45 days of receipt.
- Process check inquiries within 24hrs of receipt and maintain log.
- Void and reissue checks where applicable.
- Review monthly and quarterly vendor invoices, maintain log and issue payments.
- Issue/Reissue vendor expense and medical payments as needed.
- Issue Medical and Transportation payments.
- Process WCB awarded medical testimonies and provider submitted testimonies in appropriate system(s).
- Process daily checks & EFT transactions in WINS and Freedom applications.
- Request and process new and updated W-9’s.
- Update and maintain vendor master list in WINS and Medata by researching license #’s, TIN #’s and provider NPI #’s on all applicable websites and database(s).
- Issue transfer payments in WINS as needed.
- Fee schedule, re-run, reprint and un-pend EOR’s/bills as needed in accordance to NYS WC Fee schedule and e-billing process.
- Assist with PARS process as needed.
- Assist Bill Unit Supervisor with the monthly Hospital Surcharge Report as needed.
- Assist Bill Unit Supervisor with the Quarterly NY Medical Data Call reporting as needed.
- Assist Bill Unit Supervisor with the Quarterly Payor Compliance Penalty Statements.
- Assist with monthly, quarterly and annual reports including 1099’s, unclaimed property and POOLS reporting as needed.
- Assist Bill Unit Supervisor with any projects & additional tasks as needed.
