Medical Billing Representative

1 month ago


White Plains, United States Insight Global Full time
Job DescriptionJob Description

Must-Haves:

  • 1-3 years of experience working in a hospital clerical role
  • Proven experience completing timely and accurate billing
  • Experience with account management and follow up
  • Experience interacting with insurance companies
  • High School diploma

Plusses:

  • Medical Coding background
  • Knowledge of CTR (Click-through rate) computer terminals

Day to Day:

Insight Global is seeking two billing representatives to join the patient accounts team at a top hospital system in White Plains, NY. This person will be responsible for reviewing unbilled claims and bills to ensure timely billing and claim resolution, thereby expediting payment and maximizing cash flow. This role involves processing all accounts, editing claims in the HIS system, and completing claims processing either on paper or electronically to third-party carriers. Follow-up on aged accounts, reviewing trial balance reports, and processing late charges are also key tasks. The representatives must understand and adhere to WPH Performance Standards, Policies, and Behaviors, and ensure compliance with federal and state billing regulations. Additional responsibilities include accurate billing to all third-party insurance carriers, monitoring the host system and biller scrubber for timely resolution of unbilled accounts, and reviewing third-party trial balance reports within the current month. Finally, the role involves researching and initiating refunds, sending inquiries to patients regarding inaccurate or incomplete information, completing charge adjustments and allowances, recoding accounts for re-billing purposes, processing rejections on third-party accounts, and responding to mail correspondence.

Duration: 6 Month Contract – possibility of conversion/extension

Shift: Onsite M-F: 8-4, 8:30-4:30, 9-5 --> ability to turn hybrid after being with the company for 1 year

  • Availability to volunteer for OT weekend shifts if meeting expectations


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