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Healthcare Billing Specialist
2 months ago
Job Description
OverviewCatholic Health stands as a leading provider of health and human services in the region. Our organization encompasses a workforce of over 16,000 dedicated professionals, operating six acute care hospitals, three nursing facilities, a home health service, hospice care, and a comprehensive network of physician practices.
Our commitment at Catholic Health is centered around the compassionate treatment and service of our communities. We collaborate effectively to deliver high-quality care and apply evidence-based practices to enhance patient outcomes consistently.
We take pride in our dedication to the health of Long Island. Become a part of our esteemed team and discover why Catholic Health is recognized as a top workplace in the area.
Job DetailsUnder the supervision of the Supervisor, the Patient Accounts Representative is tasked with ensuring precise and prompt billing, follow-up, collections, and customer service activities.
Responsibilities :
Reviews, corrects, and authorizes all primary and secondary billing, submitting claims to the appropriate payors, whether in hard copy or electronically. Analyzes and amends any rejections from electronic billing submissions, correcting and resubmitting claims as necessary. Confirms the accuracy of patient insurance and demographic data. Issues bills to patients for services not covered by their insurance plans. Investigates duplicate payments and takes necessary actions to resolve issues, initiating refund requests in accordance with departmental protocols. Conducts follow-up on all outstanding accounts assigned, adhering to established standards and procedures. Monitors payer payment discrepancies and reports trends in payer behavior. Identifies reasons for claim denials and appeals accounts as needed. Responds to all inquiries for information and telephone requests from patients, insurance carriers, hospital business offices, and external agencies in a professional manner. Trained across all aspects of third-party billing, follow-up, credit and collections, and customer service activities. Demonstrates proficiency in accounts receivable systems and related applications. Performs related duties as assigned and other tasks as requested.Requirements and Qualifications :
High School diploma or equivalent is required. Ability to interpret third-party coverage and institutional charges to patients. Strong communication skills are essential. Ability to adhere to procedural guidelines and seek assistance when necessary. Proficiency in operating a personal computer is required. Must be able to sit for extended periods, with occasional standing, walking, and bending. Excellent verbal and auditory skills are necessary for effective communication with internal staff, customers, and representatives from external departments and agencies. Near vision acuity is required for maintaining patient accounts and performing computer tasks.A minimum of one year of experience in Physician Billing, including insurance carrier follow-up and customer service, is required.
Salary Range USD - USD /Hr.
This range serves as a good faith estimate, and actual compensation will reflect various factors, including the candidate's qualifications, skills, competencies, and experience. The salary range does not encompass bonuses, incentives, or other forms of compensation that may apply to this position, nor does it include the value of benefits.
At Catholic Health, we prioritize a people-first approach. In addition to the estimated base pay provided, Catholic Health offers comprehensive benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that fosters professional and educational growth.
