Associated Medical Professionals of NY, PLLC
ASC Billing Specialist/Account Auditor
Associated Medical Professionals of NY, PLLC, Syracuse, New York, United States
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About the Role Responsible for overseeing the revenue cycle processes, including eligibility verification, customer service, prior authorization, coding/charge entry, claim submission, denial management, payment posting, and reporting. You will be the primary contact and problem solver for all third‑party companies involved in revenue cycle activities.
What You’ll Be Doing
Responsible for ensuring the final resolution of all insurance and guarantor owed balances, including follow‑up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, and electronic and telephone communication with payers and refunds.
Responsible for maintaining the day‑to‑day operations.
Ability to troubleshoot billing problems for all Revenue Cycle departments.
Responsible for communicating incorrect filing issues that result in claims being denied to the office staff and the Administrator.
Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies, and problems.
Monitoring of aged accounts balances, both insurance and guarantor types, ensuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance.
Oversee the collection activity in accordance with the Corporate Collection Policy.
Oversee the charge entry/coding activity in accordance with billing policy.
Responsible for knowledge of the computerized collections module and patient accounts system concerning processes and documentation necessary to support the collection procedures.
Responsible for ensuring appropriate documentation to support write‑offs, transfers to collection agencies, and adjustments to all accounts.
Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures.
Maintain working relationships with other supervisors and clinical leaders to ensure communication, cross‑training and resolution of problems.
Responsible for adhering to the Corporate Confidentiality Policy.
Other duties as assigned.
Education And/or Experience
High School Diploma or equivalent required; AA/AS degree or Certified Coder Certification preferred.
Minimum of 3–5 years’ experience in collection of medical accounts receivables.
Knowledge of Revenue Cycle components.
Knowledge of all third‑party payor regulations and compliance policies.
Other Skills And Abilities
Excellent written and verbal communication skills.
Excellent organizational skills.
Ability to meet standard production goals.
Ability to handle multiple tasking.
U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
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About the Role Responsible for overseeing the revenue cycle processes, including eligibility verification, customer service, prior authorization, coding/charge entry, claim submission, denial management, payment posting, and reporting. You will be the primary contact and problem solver for all third‑party companies involved in revenue cycle activities.
What You’ll Be Doing
Responsible for ensuring the final resolution of all insurance and guarantor owed balances, including follow‑up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, and electronic and telephone communication with payers and refunds.
Responsible for maintaining the day‑to‑day operations.
Ability to troubleshoot billing problems for all Revenue Cycle departments.
Responsible for communicating incorrect filing issues that result in claims being denied to the office staff and the Administrator.
Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies, and problems.
Monitoring of aged accounts balances, both insurance and guarantor types, ensuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance.
Oversee the collection activity in accordance with the Corporate Collection Policy.
Oversee the charge entry/coding activity in accordance with billing policy.
Responsible for knowledge of the computerized collections module and patient accounts system concerning processes and documentation necessary to support the collection procedures.
Responsible for ensuring appropriate documentation to support write‑offs, transfers to collection agencies, and adjustments to all accounts.
Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures.
Maintain working relationships with other supervisors and clinical leaders to ensure communication, cross‑training and resolution of problems.
Responsible for adhering to the Corporate Confidentiality Policy.
Other duties as assigned.
Education And/or Experience
High School Diploma or equivalent required; AA/AS degree or Certified Coder Certification preferred.
Minimum of 3–5 years’ experience in collection of medical accounts receivables.
Knowledge of Revenue Cycle components.
Knowledge of all third‑party payor regulations and compliance policies.
Other Skills And Abilities
Excellent written and verbal communication skills.
Excellent organizational skills.
Ability to meet standard production goals.
Ability to handle multiple tasking.
U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
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