Billing Control Specialist

Catholic Health•Riverhead, NY

22d•$23 - $28

About The Position

St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. St. Catherine's is located on the north shore of Long Island in Smithtown. The campus is comprised of a 296-bed not-for-profit community hospital; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families and our community. Our Mission is to create an environment of healing and compassion, to offer care to those in need and to provide a spirit of mutual respect while upholding our religious mission. St. Catherine of Siena Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials. Our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. BILLING CONTROL SPECIALIST POSITION SUMMARY: Assist Office Supervisor in the billing operations of St. Catherine of Siena PROS Review in-house billing systems to ensure compliance with regulatory agencies Work closely with Office Supervisor to ensure accuracy of charges, billing and documentation Able to handle challenging situations in an often high stress environment, think objectively and be detail oriented

Requirements

HS diploma/equivalent 3-5 years billing experience
Experience working with individuals with behavioral health needs preferred.
Excellent verbal and written communication skills.
Computer skills required

Responsibilities

Assist Office Supervisor and Internal Control Specialist in maintaining charts according to regulatory standards
Complete attestations and submit to accounting on a monthly basis
Assist Office Supervisor with conducting individual financial intakes as needed
Gather insurance information for new admissions inputting them into the HER
Upload documents into EHR as needed
Collect co-pays for services provided when needed
Provide feedback to the Internal Control Specialist, Program Manager and or Program Director of any discrepancies, ensure adjustments and advise Program Manager / Director
Identify trends and informs Program Manager / Program Director
Assist with completion of private insurance applications to ensure that we can bill as needed
Assist with verification of service(s) as applicable
Maintain and submit data to various agencies, including OMH
Responsible for monthly reporting as necessary
Provide back up clerical coverage and data entry as needed
Attend all applicable departmental meetings
Maintain and oversee the program Purchase cards, including the documentation and reporting of expenditures
Serve as a member of the multi-disciplinary team as appropriate.
Assist with the program re-certification process.
Responsible for ensuring timely reporting of work-related injuries, via incident/accident reports, to the Human Resources Department within 24 hours.
Interrupt and report suspected abuse to an administrator immediately and conform to NYS Justice Center Social Service Law including the Code of Conduct.