Medical Billing & Collections Rep

Yale New Haven Health•North Haven, CT

About The Position

The Billing & Collections Rep obtains and verifies insurance information, processes claims, and follows up on claim submissions. The role ensures compliance with CMS, state, and federal regulations. Employees are expected to support YNHHS’s vision and mission and embody its values of integrity, patient-centered care, respect, accountability, and compassion. The position also involves entering claim data into billing software, responding to overflow calls, protecting personal health information, maintaining billing department equipment, supporting quality improvement and customer service standards, and collaborating professionally with customers, visitors, and coworkers.

Requirements

High school diploma or GED.
Two years of EMS billing experience or related medical billing experience.
Knowledge of Medicare and Medicaid regulations.
Knowledge of ICD-9 and ICD-10 codes.
Ability to obtain National Ambulance Coding Certification within six months of employment.

Nice To Haves

Bachelor of Science or Bachelor of Arts degree in a related field.
Current certification as a Connecticut EMT.

Responsibilities

Maintain professional and courteous conduct and appearance.
Protect personal health information in accordance with HIPAA regulations.
Demonstrate sensitivity to community and cultural norms.
Follow established state and federal regulatory compliance policies and procedures.
Answer overflow calls from the Call Taking Department and process information accurately, promptly, and courteously.
Understand and maintain equipment located in the Billing Department, and report major malfunctions to a supervisor or manager.
Participate in quality improvement activities and help maintain customer service standards and departmental performance levels, including ambulance coding certification.
Support corporation and department policies, procedures, objectives, quality improvement, and safety standards.
Monitor and document unusual incidents and errors or omissions, and report non-compliance to a supervisor or manager.
Enter claim data accurately and completely into the billing software system.
Maintain a positive, calm, and professional approach toward customers, visitors, and coworkers.
Recommend process improvements and provide accurate assistance and instruction to coworkers.
Attend scheduled department meetings and training sessions.
Adhere to company policies and procedures.
Perform other duties as assigned by management.