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Healthcare Billing Specialist
2 months ago
Job Description
OverviewCatholic Health stands as a premier provider of health and human services on Long Island, employing over 16,000 individuals across a diverse range of facilities, including six acute care hospitals, three nursing homes, a home health service, hospice, and a network of physician practices.
Our mission at Catholic Health is centered on the compassionate treatment and service of our communities. We collaborate to deliver empathetic care while leveraging evidence-based practices to enhance patient outcomes consistently.
We are dedicated to the well-being of Long Island residents. Become part of our dedicated healthcare team and discover why Catholic Health is recognized as a leading workplace in the region.
Job DetailsReporting to the Supervisor, the Patient Account Coordinator is tasked with ensuring precise and prompt billing, follow-up, collections, and customer service activities.
Responsibilities :
Reviews, amends, and authorizes all primary and secondary billing, submitting claims to the appropriate payors in either hard copy or electronic format. Analyzes and rectifies any rejections from electronic billing submissions, correcting and resubmitting claims as necessary. Confirms the accuracy of patient insurance details and demographic information. Generates invoices for services not covered by insurance for patient billing. Investigates duplicate payments and takes necessary actions to resolve discrepancies, initiating refund requests as per departmental protocols. Conducts follow-ups on all outstanding accounts assigned, adhering to established standards and procedures. Monitors payer payment variances and reports trends in payer behavior. Identifies reasons for claim denials and appeals accounts as needed. Responds courteously to all inquiries from patients, insurance carriers, hospital business offices, and external agencies. Cross-trained in 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 additional duties as assigned and requested.Requirements and Qualifications :
High School diploma or equivalent is required. Ability to interpret third-party coverage and institutional charges (rates) to patients. Strong communication skills are essential. Ability to adhere to procedural guidelines and seek assistance when encountering unusual situations. Proficiency in operating a personal computer is required. Must be able to sit for extended periods, with interspersed 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 work.A minimum of one year of experience in Physician Billing, including insurance carrier follow-up and customer service, is required.
Salary RangeUSD - USD /Hr.
This range serves as a good faith estimate, and actual compensation will depend on various factors, including a candidate's qualifications, skills, competencies, and experience. The salary range listed does not encompass any 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.
