Billing and Collections Specialist
2 weeks ago
Position Overview:
At the Hospital for Special Surgery, we believe in the power of movement and the importance of health.
We are dedicated to fostering a workplace that thrives on innovation and inclusivity, seeking individuals who resonate with our core values and are eager to embrace opportunities for professional advancement.
As a leader in orthopedic and rheumatology care, HSS has consistently been recognized for excellence in patient care and nursing practices.
We are proud recipients of the Magnet Award for Nursing Excellence, marking our commitment to high-quality healthcare.
Whether you are at the beginning of your career or a seasoned professional, HSS offers a dynamic and supportive environment where you can flourish.
Working alongside passionate colleagues, you will contribute to our mission of delivering exceptional care.Position Title:
Accounts Receivable Representative I
Employment Type:
Full-Time
Department:
Billing Office
Key Responsibilities:
As part of the Accounts Receivable team, you will manage denied claims and liaise with insurance providers regarding outstanding payments. Your primary objective will be to ensure the collection of funds owed for services rendered.
Essential Duties:
1. Review and process communications from patients and insurance entities.
2. Conduct follow-ups on primary, secondary, and tertiary claims.
3. Manage denial cases, including solutions for payer denials.
4. Submit appeals to insurance carriers for issues such as medical necessity and bundling.
5. Oversee credit balance management, including the resolution of payment application discrepancies.
6. Maintain and review unbilled charge reports, denial reports, and claim allocation documentation.
7. Document adjustments and updates to patient accounts.
8. Perform additional related tasks as necessary.
Supervision:
This position reports directly to the Accounts Receivable Manager.
Qualifications:
Required Skills and Knowledge:
Proficiency in computer applications and relevant software (Microsoft Office and Excel).
Familiarity with medical coding is advantageous.
Education and Experience Requirements:
Education:
A High School Diploma or equivalent is required; some college education is preferred.
Experience:
A minimum of three years of experience in medical billing processes, including registration, charge entry, and claims preparation.
Additional Information:
#LI-SS1
Compensation:
Pay Range:
Minimum: USD $31.62/Hr.
Maximum: USD $31.62/Hr.
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