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Mohawk Valley Health System · 3 hours ago

A/R Biller - Full Time

Utica, NY

Full-time

Onsite

Entry Level

$19.64/hr - $22/hr

2+ years exp

Mohawk Valley Health System is seeking an A/R Biller to ensure accurate processing of Inpatient and Outpatient accounts for all payors. The role involves maintaining account receivables, promoting professional relationships with insurance companies, and resolving outstanding claims issues.

Health CareHospital

Responsibilities

Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims

Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments

Maintains account receivables for the Business Office. Makes phone calls to the appropriate payor to determine status of account and secure payment

Other duties as assigned

Qualification

Billing MedicareBilling MedicaidCommercial Insurance BillingICD-9 CodingICD-10 CodingHCPCS CodingMedical TerminologyOffice ProceduresGeneral Office EquipmentBookkeepingAccounting