Job Details
This position includes, but is not limited to cash collection, refunds and accounts receivable resolution. This also includes verification of patient insurance coverage, updating both patient demographic and insurance information, communicating payer's trends, claim logic issues, reimbursement/rejection trends and errors to management, phone interaction with both insurance carriers, patients and other third party entities as indicated. Use of various billing systems such as but not limited to: Epic, Connex, ePaces, Evicore, Availity for provider information, plan portals/websites for various insurance payers. Use of Word and Excel and any other related tasks. Ensure that all billing is in order and compliant to receive reimbursement. Address denials and no response; provide all supporting documentation to ensure reimbursement. Resolve patient claim issues within expected time frames while maintaining quality of work and securing cash collection.
EDUCATION AND REQUIREMENTS:
High School Diploma or GED is required, Associate's Degree is preferred.
Two - three years experience in a physician billing setting.
Experience in the Epic billing system is strongly preferred.
Must have knowledge of Health Insurance reimbursement and billing requirements.
Must be able to apply policy and procedure to make independent decisions to secure reimbursement.
Independent, detail oriented individual with strong analytical skills.
Must have good verbal and written communication skills.
Must be familiar with HIPAA guidelines.
Department: Professional Services Bargaining Unit: 1199 Campus: YONKERS Employment Status: Regular Full-Time Address: 3 Executive Boulevard, Yonkers
Shift: Day Scheduled Hours: 7:30 AM-4 PM Req ID: 219018 Salary Range/Pay Rate: $26.84
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates, please click here.
Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.
Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
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Mission:
To heal, to teach, to discover and to advance the health of the communities we serve.
Vision:
To be a premier academic medical center that transforms health and enriches lives.
Values
Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:
- Humanity
- Innovation
- Teamwork
- Diversity
- Equity