Job Information
NY Employer BILLING REPRESENTATIVE in Bronx, New York
Responsibilities: Collaborate with clinical staff to obtain all necessary documentation required for billing to patient, Medicaid, or other insurances. Enter financial data, including Medicaid numbers, gender, date of birth and other insurance codes into programs billing database Set all weekly rates using a sliding fee scale and documentation provided by the patient. With appropriate documentation, review requests from the clinic for adjustment of patient weekly fees and balances Review financial assessment performed by clinical staff of all patients upon admission or change in patients financial circumstances to determine method of payment for services Identify and contact clinical staff regarding patients who are delinquent in paying for program services Review, process, and monitor billing for claims service claims including OTP, HIV Counseling, Case Management and Testing, HIV Primary Care, Chemical Dependency and patient transportation Ensure billing is scheduled and collections are reviewed on a continuous basis. Maintain contact with programs billing services, insurance companies, Medicaid, and NYC dept. of finance Compute and submit revenue deposits posted on a general ledger and reported on grants Bill private insurance carriers for patients whose care is reimbursable through these companies. Maintain records of patients with private insurance Prepare and submit claims, re-billing denied claims and back billing claims to Medicaid and other accepted insurances. Maintain database reconciliation. Review denials and enter corrections into billing database Develop reports to track weekly scheduled visits Perform other duties as assigned
Qualifications: Must have high level of proficiency with MS Office (Word, Excel), medical databases (EPIC, office ally, IMA), completing claim forms submitting requested information to vendors Must type 25 Words per minute High School Diploma / GED required, medical billing and coding preferred 3 + years of working experience as a Medical Coder (CPC strongly preferred) with insurance verification and authorization is a must Must have strong knowledge of CPT and ICD-10 billing codes and knowledge of Medicaid and commercial insurance billing Must be detail oriented, be able to meet strict deadlines, and have strong customer service skills to be able to interact with patients and industry professionals
This is a 100% Grant funded position
Department: Psychiatry and Behavioral Sciences Bargaining Unit: 1199 Campus: MOSES Employment Status: Regular Full-Time Address: 1510 Waters Place, Bronx Shift: Day Scheduled Hours: 9 AM-5 PM Req ID: 222985 Salary Range/Pay Rate: $26.64