Revenue Cycle Professional Biller I

1 week ago

Ithaca, New York, United States Xtensys Full time $60,000 - $90,000 per year

About Us
Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We are seeking an experienced Revenue Cycle Professional Biller I to join our team of 500 and support our exciting journey. We value people and we're building a culture to match. If you are a collaborative, innovative, and strategic leader, we'd love to talk.

Job Summary
As Revenue Cycle Professional Biller I, you will be responsible for the compliant billing of claims across a range of payers, including Blue Cross, Aetna, Cigna, United Health Care, NYS No-Fault, and Worker's Compensation. This role demands meticulous attention to detail to ensure accurate and timely billing, adherence to payer guidelines, and effective resolution of claim issues. Your work will involve handling claim rejections, reprocessing claims, and managing all aspects of the billing cycle, including the packaging and submission of claims.

Key Responsibilities

  • Billing Compliance: Ensure accurate, compliant, and timely billing to facilitate prompt payment.
  • Claim Management: Address and resolve claim rejections, reprocess claims, and manage payer-specific edits.
  • Documentation: Attach required documents such as ER reports, itemized bills, and medical records to claims.
  • Follow-Up: Handle incomplete claims and follow up on non-transmitted claims.
  • Adjustments: Submit adjustment and voided claims through online systems as necessary.
  • Software Proficiency: Utilize Excel, Word, Outlook, and billing/eligibility software solutions effectively.
  • Performance Goals: Meet or exceed departmental performance, productivity, and quality goals.
  • Flexibility: Maintain a flexible work schedule to meet departmental needs.
  • Compliance: Adhere to federal, state, and physician billing compliance requirements.
  • Collaboration: Participate in departmental meetings and collaborate with team members to achieve goals.
  • Additional Duties: Perform other job-specific duties as assigned.

Skills & Experience

  • 3 years of billing experience in a physician billing environment.
  • Exposure to Epic preferred.
  • Professional billing experience required.
  • Strong organizational skills, attention to detail, and accountability.
  • Ability to manage multiple priorities and work well under pressure.
  • Proficiency in Excel, Word, Outlook, and billing/eligibility software.
  • Comfortable with medical terminology and billing practices.

Education

  • High School diploma or GED equivalent required. Associate's degree in a related field preferred.

Travel Requirements

None

Physical Nature of the Job

Ability to sit for extended periods and perform repetitive use of hands and fingers.

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