White Plains Hospital
Patient Accounts Billing Representative
White Plains Hospital, White Plains, New York, United States
Overview
At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world. We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder we are consistently recognized as a
Great Place to Work . Position Summary The Patient Accounts Billing Representative is responsible for review of unbilled claims and bills, assuring 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.
Responsibilities
Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
Ensure adherence to federal and state billing regulations.
Complete accurate billing for all third party insurance carriers.
Monitor host system and biller scrubber to ensure timely resolution of unbilled accounts.
Complete review of third party trial balance reports within the current month.
Research and initiate refunds to patients or insurance carriers as needed.
Send inquiries to patients regarding inaccurate or incomplete information.
Complete charge adjustments and allowances entries on accounts as needed.
Recodes accounts by insurance carrier and plan number and enter into the HIS for re-billing purposes.
Process rejections on third party accounts.
Review mail correspondence and respond accordingly.
Review online billing edits for errors, corrections or missing information. Enter the necessary corrections into HIS.
Assist with telephone calls as needed.
Complete rebilling process for late charges on a daily basis.
Monitor host system and bill scrubber for billing delays and to expedite processing.
Perform all other related duties as assigned.
Education & Experience High School Graduate required. Clerical experience. Clerical and business aptitude with one to two years of hospital experience. Ability to use basic office equipment and knowledge of CTR computer terminals is a plus. Medical terminology is helpful but not mandatory.
Core Competencies
Cooperation and teamwork
Must be able to speak, write, understand and communicate in English
Effective communication with internal and external customers
Integrity to handle confidential aspects of work
Retains composure under stress
Physical/Mental Demands/Work Environment May be exposed to chemicals necessary to perform required tasks. Refer to the hospital's SDS for details. Must be able to remain in a stationary position for 50% of the time. Occasional movement inside the office to access file cabinets and office machinery. Regularly communicates with insurance and patients and must exchange accurate information.
Primary Population Served Check appropriate populations below as applicable: Neonatal, Pediatric, Adolescent, Adult, Geriatric, Non-patient care population, and other populations with special communication needs. (Specific boxes and designations from the original posting are omitted for clarity in this refined description.)
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At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world. We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder we are consistently recognized as a
Great Place to Work . Position Summary The Patient Accounts Billing Representative is responsible for review of unbilled claims and bills, assuring 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.
Responsibilities
Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
Ensure adherence to federal and state billing regulations.
Complete accurate billing for all third party insurance carriers.
Monitor host system and biller scrubber to ensure timely resolution of unbilled accounts.
Complete review of third party trial balance reports within the current month.
Research and initiate refunds to patients or insurance carriers as needed.
Send inquiries to patients regarding inaccurate or incomplete information.
Complete charge adjustments and allowances entries on accounts as needed.
Recodes accounts by insurance carrier and plan number and enter into the HIS for re-billing purposes.
Process rejections on third party accounts.
Review mail correspondence and respond accordingly.
Review online billing edits for errors, corrections or missing information. Enter the necessary corrections into HIS.
Assist with telephone calls as needed.
Complete rebilling process for late charges on a daily basis.
Monitor host system and bill scrubber for billing delays and to expedite processing.
Perform all other related duties as assigned.
Education & Experience High School Graduate required. Clerical experience. Clerical and business aptitude with one to two years of hospital experience. Ability to use basic office equipment and knowledge of CTR computer terminals is a plus. Medical terminology is helpful but not mandatory.
Core Competencies
Cooperation and teamwork
Must be able to speak, write, understand and communicate in English
Effective communication with internal and external customers
Integrity to handle confidential aspects of work
Retains composure under stress
Physical/Mental Demands/Work Environment May be exposed to chemicals necessary to perform required tasks. Refer to the hospital's SDS for details. Must be able to remain in a stationary position for 50% of the time. Occasional movement inside the office to access file cabinets and office machinery. Regularly communicates with insurance and patients and must exchange accurate information.
Primary Population Served Check appropriate populations below as applicable: Neonatal, Pediatric, Adolescent, Adult, Geriatric, Non-patient care population, and other populations with special communication needs. (Specific boxes and designations from the original posting are omitted for clarity in this refined description.)
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