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White Plains Hospital · 4 months ago

Patient Accounts Billing Representative

White Plains, NY

Full-time

Hybrid

Entry Level

$54K/yr - $81K/yr

1+ years exp

White Plains Hospital is recognized for its exceptional culture and dedicated workforce, and they are seeking a Patient Accounts Billing Representative. This role is responsible for reviewing unbilled claims, ensuring timely billing and claim resolution, and processing accounts to maximize cash flow.

Health CareHealth DiagnosticsMedical

Comp. & Benefits

Responsibilities

Understand and adhere to the WPH Performance Standards, Policies and Behaviors

Insure adherence to federal and state billing regulations

Completes accurate billing to all third-party insurance carriers

Monitors host system and biller scrubber to insure timely resolution of unbilled accounts

Completes review of third-party trial balance reports within the current month

Researches and initiates refunds to patients or insurance carriers as needed

Sends inquiries to patients regarding inaccurate or incomplete information

Completes charge adjustments and allowances entries on accounts as needed

Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes

Processes rejections on third party accounts

Reviews mail correspondence and responds accordingly

Review online billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS

Assists with telephone calls as needed

Completes rebilling process for late charges daily

Monitors host system and bill scrubber for billing delays and to expedite processing

Performs all other related duties as assigned

Qualification

Billing regulations knowledgeClaims processingMedical terminologyClerical experienceCooperationEffective communicationIntegrity

Required

High School Graduate required

Clerical experience required

Clerical and business aptitude with one to two years' hospital experience

Ability to use basic office equipment and knowledge of CTR computer terminals a plus

Effective 12/1/2022, the HBI (Healthcare Business Insights) one-time certification course is required and must be completed during the onboarding period and prior to the start date

Ability to cooperate with others

Must be able to speak, write understand and communicate the English language

Effectively communicate with internal and external customers

Integrity to handle the confidential aspects of work. Retains composure under stress