Billing Representative

St. Mary's Healthcare•Amsterdam, NY

About The Position

St. Mary’s Healthcare is hiring a full-time Billing Representative for a 40-hour-per-week day shift. The role supports accurate and timely billing by confirming insurance coverage and authorizations, determining patients’ financial responsibility, preparing claims, and resolving billing and reimbursement issues. The hiring range is $19.64–$24.07. Actual compensation depends on experience and other factors permitted by law. Eligible shifts receive differentials: 10% for weekday evening and weekend day shifts, 15% for weekday night shifts, and 21% for weekend evening and night shifts.

Requirements

High school diploma or GED.
Ability to organize and establish day-to-day priorities while applying critical thinking.
Ability to multitask while remaining professional, focused, composed, and positive.
Excellent customer service skills.
Integrity, friendliness, compassion, and the ability to establish effective rapport with others.
Flexibility and initiative.
Ability to work in a fast-paced environment.
Effective critical-thinking and problem-solving skills.
Proficiency with Microsoft Office products, including Word and Excel.
Strong organizational and interpersonal skills.
Ability to take and follow direction appropriately and positively.
Ability to work independently and as part of a team.
Effective and appropriate written and oral communication skills.
Ability to speak, read, write, and follow instructions in English.

Nice To Haves

At least one year of healthcare medical billing experience.
Certified Patient Financial Services Specialist certification.
Interest in embracing opportunities for personal and professional growth.

Responsibilities

Confirm insurance coverage and verify that authorizations have been obtained for scheduled procedures.
Determine financial responsibility for services to be provided.
Notify appropriate departments or physician practices about requested or referred services that are not authorized by insurance.
Communicate with patients and appropriate departments or physician practices about financial responsibility and insurance coverage issues, following department-specific guidelines.
Review and process correspondence.
Maintain detailed documentation of billing activities in patient account records.
Document claims processed as part of the daily claims reconciliation process.
File original and corrected claims promptly to prevent write-offs.
Prepare and complete claims for commercial insurance companies, third-party organizations, and government or self-payers.
Research, analyze, and reconcile Medicare and Medicaid billing and reimbursement practices.
Consult with appropriate parties to resolve unbilled claims.
Review recent accounts for proper billing practices and reimbursement.