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Oneida Healthcare

Patient Account Rep - Billing & Collections Specialist

Oneida Healthcare, New York, New York, us, 10261

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Patient Account Rep - Billing & Collections Specialist

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Patient Account Rep - Billing & Collections Specialist

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Oneida Health . Job Description

Oneida Health is currently seeking a full-time

Patient Account Representative - Billing & Collections Specialist

to work days in our corporate offices. The role involves performing activities related to the submission of governmental and third-party payer healthcare bills, ensuring accuracy and timeliness to support departmental goals, including a target clean claim submission rate of 85% or higher. Analyzing patient accounts and identifying overpayments Processing refunds and managing credit balances Resolving denials and rejections Ensuring compliance with applicable rules, regulations, and policies Supporting team efforts in achieving accounts receivable performance goals

Responsibilities

Review and correct assigned claims daily for accuracy Submit claims and rebills in manual or electronic formats Monitor and resolve claim denials and rejections Assist with training new staff and share updates from payers Document actions and maintain records in the system Utilize payer websites and resources effectively Communicate courteously and professionally with patients and staff Follow established policies to ensure confidentiality and compliance

Qualifications

High School diploma required; higher education or certifications preferred Minimum five years of healthcare billing experience Knowledge of healthcare terminology, billing, and coding Understanding of reimbursement guidelines for major payers Proficiency in Microsoft Office and patient accounting systems Knowledge of HIPAA and patient confidentiality laws

Additional Details

Seniority level: Mid-Senior level Employment type: Full-time Industry: Hospitals and Healthcare

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