Overview
Accounts Receivable Specialist, Clients/Medical Pract HCS Jobs in Buffalo, New York, USA at Catholic Health System
Position: Accounts Receivable Specialist, Clients/ Medical Pract HCS
Salary:
 USD
Facility:
Administrative Regional Training Cntr
Shift: Shift 1
Status:
Full Time
FTE: 1.066667
Bargaining Unit:
Catholic Health Emmaus
Exempt from Overtime:
Exempt:
No
Work Schedule:
Days
Hours:
8 hour work days schedules are 7-3:30, 7:30-4, 8-4:30
Summary:
The position will support the clients and Medical Practices of HCSWNY. Responsibilities will include, but are not limited to, the following:
Ensures that clients are reimbursed properly and efficiently by verifying patient insurance information, reviewing billing information, verifying accuracy of charges, and performing follow-up on insurance company denials on a timely basis.
Review all claims for accuracy.
Identify errors or issues with billing and correct them.
Review and correct all response files from electronic submissions.
Document all patient accounts with each action taken into the appropriate system.
Follow up on all daily correspondence received on a timely basis.
Keep up to date with current insurance billing requirements and changes by reading payer newsletters and other publications.
Follow up on unpaid/outstanding/denied claims within the payers’ timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including:
Verify patient’s insurance information using Hnet, ePaces, Connex, insurance company portals, phone calls and/or letters to patients and/or insurance carriers and/or their websites.
Make appropriate changes to correct denied claims and submit corrected electronic or paper claims to the appropriate insurance carrier.
Review EOBs for denial or partial payment information.
Interact with insurance companies to resolve issues delaying the collections of accounts, including the use of phone calls, emails, and portals.
Perform other related duties as requested.
Responsibilities:
Education Requirements:
High School diploma
Graduate of a certificate program for Medical Billing Program preferred
Experience Requirements:
Two years of Medical Billing experience preferred
Certification in Medical Billing/Reimbursement is a plus
Knowledge, Skill and Ability:
Demonstrates knowledge of third party billing procedures
Knowledge of claims review and process
Strong computer skills (MS Word and Excel preferred)
Excellent written and oral communication skills
Excellent organizational skills
Ability to work well with others
Dependable in both production and attendance
Self-Motivated
WORKING CONDITIONS:
Environment:
Normal heat, light space, and safe working environment; typical of most office jobs
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Title: Accounts Receivable Specialist, Clients/Medical Pract HCS
Company: Catholic Health System
Location: Buffalo, New York, USA
Category: Healthcare (Medical Billing and Coding, Healthcare Administration, Medical Office), Administrative/Clerical (Healthcare Administration)
