Accounts Receivable Representative I
About The Position
How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Requirements
- Previous applicable experience in healthcare, hospitality or other highly visible customer service required.
- Knowledge of third party operating procedures, regulation, and billing requirements as well as government reimbursement programs.
- Knowledge of CPT, ICD-10, HCPCS coding and Medical Terminology and Collections.
- Proficient in uses of computerized registration and billing systems and personal computers, including Microsoft Office Suite.
- Ability to identify trends with regard to third party payer denials and proactively problem solve.
- Positive attitude, flexible team player
- High School Diploma or equivalent (G. E.D.), may include specialized or vocational courses
Nice To Haves
- Previous medical billing and customer service experience highly desirable.
- Epic experience preferred.
- Associate's degree or enrolled in college working toward degree. Associates
Responsibilities
- Assists with contracts Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
- Coordinates enrollment Coordinates physician enrollment in managed care plans.
- Ensures compliance Ensures compliance of managed care companies with negotiated contracts.
- Follows-up and resolving payment issues with Insurance Payors.
- Acts as a liaison between physician offices and Insurance Payors.
- Schedules, coordinates, and documents for all PHO related meetings.
- Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
- Oversees PHO phone line, answers and responds to inquires, and assist with urgent physician office issues.
- Maintains satisfactory attendance record.
- Reports for duty punctually.
- Adjusts to changing situations and work assignments.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
