Apply on Employer Site

Westchester Medical Center Health Network · 3 months ago

Senior Biller

Kingston, NY

Full-time

Onsite

Mid, Senior Level

1+ years exp

Westchester Medical Center Health Network is seeking a Senior Biller to manage the billing processes for HealthAlliance across multiple payors. The role involves submitting claims, resolving billing issues, and ensuring successful follow-up on unpaid or denied claims while maintaining professionalism and strong communication within the department.

Hospital & Health Care

Responsibilities

Demonstrates proven abilities to effectively process, analyze and resolve a multitude of billing issues on multiple payors

Works independently

Makes sound decisions when necessary

Exhibits strong problem solving skills, as it relates to the billing and follow-up of claims

Responsible for filing insurance claims for multiple third party payers

Addresses any edits pertaining to billing correctly and accurately; reporting repetitive edits to management for system correction

Makes the necessary corrections to accounts in Accounts Receivable system and electronic software

Promotes/portrays a high level of professionalism, both technically and personally

Possesses strong worth ethic and exhibits optimism

Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude

Analyzes daily electronic billing reports for errors

Performs daily reconciliation of claim submission and receipt

Ensures that rejected claims are corrected and rebilled successfully

Follows up on unpaid or denied claims for multiple payers

Actively works on assigned worklist incorporating high dollar report and denial report into the daily responsibilities

Proactively addresses problems and issues encountered in billing or follow-up in order to resolve accounts in a timely manner

Stays informed on all rules and regulations governing billing and reimbursement of multiple 3rd party payors

Utilizes tools available including websites, payor meetings, educational seminars and provider reps

Processes credit balances and issues refund requests where appropriate

Promotes positive relationships among co-workers

Communicates effectively within the department and keeps management informed on key issues

Performs other duties as assigned

Qualification

Claims processingBilling analysisAccounts ReceivableProblem solvingCommunication skills

Required

One year minimum experience in a clerical capacity that includes working with large sums of cash preferred

Previous public contact experience

Excellent communication skills

High School diploma

Written and verbal communication skills

Company

Westchester Medical Center Health Network

Glassdoor3.2

The Westchester Medical Center Health Network (WMCHealth) is the pre-eminent provider of integrated health care in New York’s Hudson Valley region, serving nearly 2.5 million residents across more than 6,000 square miles.

Founded in 1917

Valhalla, New York, US

10001+ employees