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Medical Biller Specialist
2 months ago
We are seeking a highly skilled Medical Biller to join our team at White Plains Hospital. As a Medical Biller, you will play a critical role in ensuring the timely and accurate billing of patient charges, denials management, and monitoring of non-payments.
Key Responsibilities- Understand and adhere to WPH Performance Standards, Policies, and Behaviors.
- Monitor the clean billing of claims in the physician practice and ensure that all claims are billed expeditiously.
- Demonstrate a complete understanding of all Insurance companies, their policies, guidelines, and contracts.
- Take initiative to remain informed about changes in coding rules/guidelines and stay up-to-date with industry developments.
- Identify and trend denials, providing recommendations to improve processes and provide additional training to front-end staff.
- Monitor write-offs with the objective of minimizing losses.
- Actively pursue all non-payments, identifying the cause and providing recommendations for corrective solutions.
- Act as a resource to front-end and/or clinician for coding questions.
- Fulfill organizational responsibilities, including respecting/promoting patient rights, responding appropriately to emergencies, and communicating concerns/problems relating to patients and/or staff with immediate supervisor.
- Adhere to White Plains Hospital infection control standards, including hand hygiene, use of PPE, isolation of patients with known infectious diseases, and equipment disinfection/sterilization.
- Utilize appropriate steps in the decision-making process, including recognition and priority setting relating to patient care and practice-based issues.
- Collaborate and communicate with the healthcare team.
- Complete annual mandatory requirements, including Occupational Health Requirements.
- Attend mandatory in-services and staff meetings as required/requested.
We are looking for a candidate with a minimum of 3 years of billing experience, coding experience preferred. A high school graduate or GED certificate is required, with a BS degree preferred. The ideal candidate will have a demonstrated understanding of revenue cycle and the impact of front-end sponsorship work on billing and collection efforts.
Core Competencies:
- Ability to work independently, as well as part of a team, and follow-through and handle multiple tasks simultaneously.
- Ability to communicate effectively both verbally and written and work with others.
- Ability to concentrate on fine details with constant interruptions.
- Perform multiple duties in a high-volume area.
- Ability to deal professionally and efficiently with all levels of management and external constituencies.
- Self-starter, self-motivated, and ability to work without supervision.
- Flexible, organized, and able to set priorities.
- Demonstrates teamwork and adaptability.
- Maintains composure under stress.
The ideal candidate will be able to perform computer work for extensive periods, occasionally move and/or transport 15 to 20 pounds, and remain in a stationary position for extended periods. May be exposed to chemicals necessary to perform required tasks.
Primary Population Served:
Check appropriate box(s) below:
☐Neonatal (birth – 28 days)
☐Patients with exceptional communication needs
☐Infant (29 days – less than 1 year)
☐Patients with developmental delays
☐Pediatric (1 – 12 years)
☐Patients at end of life
☐Adolescent (13 – 17 years)
☐Patients under isolation precautions
☐Adult (18 – 64 years)
☐Patients with cultural needs
☐Geriatric (> 65 years)
☐Bariatric Patients with weight-related comorbidities
☐Non-patient care population
☐All populations
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.
