Physician Practice Billing Specialist

Garnet Health • Middletown, NY

270d • $24 - $25

About The Position

At Garnet Health, the Hudson Valley's leading integrated health system, you'll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve. If you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Physician Practice Billing Specialist on our Patient Financial Services team at/in Garnet Health Medical Doctors.

Requirements

• High School diploma or High School Equivalent or Associate Degree (preferred).
• Three years of billing experience needed.
• Multi-specialty practices/facilities experience preferred.
• Understanding of third-party healthcare reimbursement regulations.
• Basic knowledge of Medical Terminology, ICD-10, and CPT coding.
• Excellent communication, interpersonal, analytic, organizational, and problem-solving skills.
• PC and Microsoft Office proficient.
• Ability to access specialized healthcare websites via the World Wide Web.

Responsibilities

• Communicate with all insurance carriers using the Physician Billing's medical claim billing software, Epic.
• Research insurance company issues, such as network problems and workers compensation claims.
• Proactively contact carriers regarding reduced or denied reimbursement.
• Ensure patient insurance information is accurate.
• Retrieve various types of medical documentation.
• Develop, submit, and track appeals to carriers, per department procedure.
• Review and analyze explanation of benefits and adjust patients' accounts accordingly.
• Receive and accurately record all SBO patient pays and third-party mail payments.
• Ensure data input has been recorded properly and timely by reconciling to daily reports.
• Balance bank deposits.

Benefits

• Career growth and professional potential support.
• Tuition reimbursement programs for continued education.
• Comprehensive health, dental, and retirement benefits.

What This Job Offers

• Job Type: Full-time
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED