VNA Billing Account Receivable Analyst

Mohawk Valley Health System•City of Utica, NY

1d•$19 - $22

About The Position

The Billing Accounts Receivable Analyst processes VNA/Home Care Services claims to primary and secondary payers promptly and accurately to promote the organization’s financial stability. The role handles Medicare and non-Medicare billing, reviews reimbursement against payer contractual agreements, follows up on payments and denials, and supports accurate accounts receivable. It also involves explaining patient balances, arranging payments according to departmental policies, updating payer information, and participating in agency meetings and quality improvement and utilization review activities. The analyst must protect confidential information, respect the Patient’s Bill of Rights, and comply with state and federal regulations concerning patient data and safety. Related duties may be assigned.

Requirements

High school diploma or GED.
Two years of billing or corporate customer service experience.
Knowledge of billing for Medicare, Medicaid, commercial insurance, HMOs, and Worker’s Compensation/No Fault.
Excellent computer skills.
Excellent verbal and written communication skills.

Nice To Haves

Knowledge of ICD-10, HCPCS coding, and medical terminology.

Responsibilities

Process all non-Medicare and Medicare paper and electronic billing.
Analyze payer contractual agreements and reimbursement to ensure accurate accounts receivable.
Follow up with payers regarding payments and denials, and challenge remittances that are inappropriate or unjustified.
Follow up on all receivables, including co-pays, adjustments, and denials.
Explain patient balances to patients or guarantors.
Initiate and approve payment arrangements in accordance with departmental policies and procedures.
Update patient payer system information.
Participate in appropriate agency meetings and the organization’s quality improvement and utilization review activities.
Keep information confidential, respect the Patient’s Bill of Rights, and comply with state and federal regulations regarding patient data and safety.
Perform related duties as assigned.