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Medical Biller Specialist

2 months ago


Mamaroneck, New York, United States White Plains Hospital Full time
Job Summary

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.
Requirements

We are looking for a Medical Biller 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.

The successful candidate will possess strong problem-solving skills, the ability to work collectively with a culturally diverse staff and patient/family population, and excellent customer service skills. Proficiency in health insurance eligibility, as it pertains to Medicare and Medicaid regulations, insurance and managed care reimbursement concepts, and overall operational impact is essential. Basic medical terminology is also required.

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.
Physical/Mental Demands/Requirements & Work Environment

The Medical Biller will be required to perform computer work for extensive periods of time, occasionally move and/or transport 15 to 20 pounds, and remain in a stationary position for extended periods. The position may also involve exposure to chemicals necessary to perform required tasks.