Billing Analyst - Part Time - Days

Mohawk Valley Health System • City of Utica, NY

19d • $19 - $23

About The Position

The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers promptly and accurately in order to promote financial stability within the organization. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.

Requirements

• High School diploma or GED.
• 2 years of billing/corporate customer service experience.
• Knowledge of billing for Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.
• Excellent computer, verbal and written communication skills.

Nice To Haves

• Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.

Responsibilities

• Responsible for all non-Medicare and Medicare paper and electronic billing.
• Analyze payment methodology with the payer contractual agreements and the actual reimbursement to ensure accurate accounts receivables. Follow-up with payers regarding payments and/or denials. Challenge the payer when their remittance is not appropriate or justified.
• Follow-up on all receivables including all co-pays, adjustments and denials.
• Explain the accounting of the patient balance to the patient/guarantor.
• Initiate and approve payment arrangements in accordance with established departmental policies and procedures.
• Update patient payer system information.
• Participate in appropriate agency meetings and quality improvement and utilization review activities of the organization.
• Ensure that all information is kept confidential and respect the Patient’s Bill of Rights. Comply with all state and federal regulations regarding patient data and safety.
• Performs related duties as assigned.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED