Claims Processing Tech - Eddy Senior Care

Trinity Health
$19 - $25Onsite

About The Position

Eddy Senior Care Pace is looking for an individual to join our finance team. This position is responsible for entering all patient claims into our computer system which will then determine the amount to be paid based on fees schedules established in the system (adjudication system) and resolving any discrepancies prior to submitting to accounts payable. Some communication with providers to resolve billing problems. Previous experience and knowledge of medical claims processing very helpful. Accuracy and speed due to high volume of claims. Professional communication skills, both written and oral. Works well with others in a small department. This is an in-office position which requires the colleague to work within the office located at 433 River Street in Troy, New York. Hours are Monday to Friday 8-430 or 830-5. Full orientation is provided.

Requirements

  • Previous billing experience is required.
  • High School Diploma required
  • 2-3 years of experience in a billing position or a health care position.

Nice To Haves

  • Previous experience and knowledge of medical claims processing very helpful.
  • Prior authorization and/or billing is preferred.
  • Ideal candidate should be very organized, patient, flexible and able to adapt well to changes.

Responsibilities

  • Process billing for self-pay clients and contracted agencies
  • Obtain and manage service authorizations
  • Prepare, review, and submit invoices and claims
  • Monitor and reconcile cash postings
  • Follow up on outstanding account balances to ensure timely resolution
  • Enter all patient claims into the computer system
  • Resolve discrepancies prior to submitting to accounts payable
  • Communicate with providers to resolve billing problems

Benefits

  • Full orientation is provided.
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