Northwell
Northwell
Posted 3 months ago
Full Time
Village of New Hyde Park, New York
In Person
Smart Summary
Responsibilities
Performs medical billing, collections, and third-party reimbursements while ensuring accurate coding for physician specialties. Manages insurance claims by interpreting benefits, resolving denials, and creating appeal packages.
Qualifications
You have a High School Diploma or equivalent and 0-1 years of relevant experience. You are responsible for performing billing, collections, and data entry related to patient accounts, including posting charges, reviewing coding, and responding to insurance claims.
Must Have Skills for ATS
Charge entry
Payment entry
Coding
Explanation of Benefits (EOB) interpretation
Insurance appeals
Insurance collections
Patient collections
Job Description
Job Description
Performs billing, collections, third party reimbursements, computer data entry and retrieval.
Helps in posting charges to accounts.
Job Responsibility
1.Performs charge and payment entry; also ensures
accurate completion of coding for all assigned physician specialties.
2. Aids review of physician's coding and identify possible conflicts in rules.
3.Notifies physician when discrepancies are identified for correction.
4.Coordinates incoming mail with open queue charges to maintain queue status.
5.Reads and interprets insurance explanation of benefits; responds to insurance
payer edits, rejections, and denials; identifies cause of rejections and chooses
most appropriate methods to resolve them.
6.Creates detailed, well-versed typed letters to insurances and patients.
7.Creates effective appeal packages to submit to insurances.
8.Communicates in an effective professional manner when speaking with
insurances and patients.
9.Maintains organized files of incoming and completed work.
10.Performs related duties as required. All responsibilities noted here are
considered essential functions of the job under the Americans with Disabilities
Act. Duties not mentioned here, but considered related are not essential
functions.
Job Qualification
• High School Diploma or equivalent required.
• 0-1 years of relevant experience, required.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Northwell
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