Phy Practice Medical Biller

White Plains Hospital • Harrison, NY

226d • $44,120 - $66,169

About The Position

The WPPA Medical Biller is responsible for timeliness & accuracy of charge entry, denial management and monitoring of non-payments. This position is an important role for the day to day management of the front end revenue cycle.

Requirements

• Minimum of 3 years billing experience, coding experience preferred.
• High school graduate or GED certificate.
• BS degree preferred.
• Demonstrated understanding of revenue cycle and the impact of front-end sponsorship work on billing and collection efforts.
• Demonstrated skills in problem assessment, and resolution and collaborative problem-solving in complex, interdisciplinary settings.
• Ability to work collectively with a culturally diverse staff and patient/family population.
• Strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance and managed care reimbursement concepts and overall operational impact.
• Basic medical terminology.

Responsibilities

• Understands and adds to the WPH Performance Standards, Policies and Behaviors.
• Monitor the clean billing of claims in the physician practice and ensures that all claims are billed expeditiously.
• Demonstrates a complete understanding of all Insurance companies; their policies, guidelines and contracts.
• Takes initiative to remain informed as changes in coding rules/guidelines, actively reads/researches and keeps abreast of changes in the industry.
• Identify/trend denials and provides recommendations to improve processes/provide additional training to front end staff etc.
• Monitor write-offs with the objective of minimizing these losses.
• Actively pursue all non-payments identifying the cause and provide recommendations for corrective solutions.
• Act as resource to front-end and/or clinician for coding questions.
• Fulfills organizational responsibilities as assigned including respecting/promoting patient rights; responding appropriately to emergencies; communicates concerns/problems relating to patients and/or staff with immediate supervisor.
• Adds to White Plains Hospital infection control standards including, but not limited to, hand hygiene, use of PPE, isolation of patient with known infectious disease, and equipment disinfection/sterilization.
• Utilizes appropriate steps in the decision making process to include recognition and priority setting relating to patient care and practice based issues.
• Collaborates and communicates with the health care team.
• Completes annual mandatory requirements including Occupational Health Requirements.
• Attends mandatory in-services.
• Attends staff meetings as required/requested.
• Performs all other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED