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Catholic Health Services Patient Account Representative in Melville, New York

Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Under the direction of the Supervisor, the Physician Billing Patient Account Representative is responsible for accurate and timely billing, follow up, collections, and customer service related activities. Responsibilities: Reviews, corrects and approves all primary and secondary billing, submits hard copy or electronic claims to appropriate payors. Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims, as required. Verifies accuracy of patient insurance and demographic information. Generates bills to patients for services not covered by insurance. Investigates duplicate payments and takes appropriate action to resolve. Initiates refund requests, where necessary, in accordance with departmental procedures. Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures. Follows up on payer payment variances. Reports trends of payer behavior. Determines reason for denial and appeals accounts as necessary. Responds to all requests for information and telephone inquiries from patient, insurance carrier, hospital business office and outside agencies in a courteous manner. Cross trained in all phases of third party billing, follow-up, credit and collections and customer service related activities. Establishes and demonstrates competency in accounts receivable systems and associated applications. Performs related duties as assigned and unrelated duties as requested. Requirements and Qualifications: High School diploma or equivalent required. Ability to interpret third party coverage and institution's charges (rates) to patient. Ability to communicate effectively with others. Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm. Demonstrated competency operating a personal computer required. Required to sit for long periods of time interspersed with standing, walking and bending. Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies. Near vision acuity is required for maintaining patient accounts and computer work. One year of Physician Billing experience, including insurance carrier follow up and customer service, required. Salary Range USD $24.00 - USD $29.00 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

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