AR Biller - Full Time - Days

Mohawk Valley Health System • City of Utica, NY

18d • $20 - $26

About The Position

The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.

Requirements

• Two years experience in billing, insurance, office procedures in a medical setting
• Knowledge of general office equipment e.g. copier is required
• Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.

Nice To Haves

• Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology
• Course taken in book keeping or accounting

Responsibilities

• Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.
• Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments.
• Maintains account receivables for the Business Office. Makes phone calls to the appropriate payor to determine status of account and secure payment.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed