Patient Accounts Billing Representative

White Plains Hospital Center•White Plains, NY

55d•Onsite

About The Position

The Patient Accounts Billing Representative is responsible for reviewing unbilled claims and bills, ensuring timely billing and claim resolution to expedite payment. Process all accounts in order to minimize billing time and maximize cash flow. Completes the editing of claims in the HIS system. Completes the processing of claims either on paper or electronically to third-party carriers. Completes follow-up on aged accounts as directed. Review trial balance reports and process late charges.

Requirements

High School Graduate required
Clerical experience required
Clerical and business aptitude with one to two years' hospital experience
Ability to use basic office equipment and knowledge of CTR computer terminals a plus
Medical terminology helpful but not mandatory
Effective 12/1/2022, the HBI (Healthcare Business Insights) one-time certification course is required and must be completed during the onboarding period and prior to the start date.
Ability to cooperate with others
Must be able to speak, write understand and communicate the English language
Effectively communicate with internal and external customers
Integrity to handle the confidential aspects of work. Retains composure under stress
May be exposed to chemicals necessary to perform the required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) database and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.
Must be able to remain in a stationary position 50% of the time
The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc.
The person in this position frequently communicates with insurers and patients who have questions, and must be able to exchange accurate information in these situations.

Responsibilities

Reviewing unbilled claims and bills
Ensuring timely billing and claim resolution to expedite payment
Processing all accounts in order to minimize billing time and maximize cash flow
Completing the editing of claims in the HIS system
Completing the processing of claims either on paper or electronically to third-party carriers
Completing follow-up on aged accounts as directed
Reviewing trial balance reports and process late charges
Understands and adheres to the WPH Performance Standards, Policies and Behaviors
Insure adherence to federal and state billing regulations
Completes accurate billing to all third-party insurance carriers
Monitors host system and biller scrubber to insure timely resolution of unbilled accounts.
Completes review of third-party trial balance reports within the current month
Researches and initiates refunds to patients or insurance carriers as needed
Sends inquiries to patients regarding inaccurate or incomplete information
Completes charge adjustments and allowances entries on accounts as needed
Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes
Processes rejections on third party accounts
Reviews mail correspondence and responds accordingly
Review online billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS
Assists with telephone calls as needed
Completes rebilling process for late charges daily
Monitors host system and bill scrubber for billing delays and to expedite processing
Performs all other related duties as assigned