Summary :

Responsible for obtaining signed orders from physicians per state regulations. Manages and maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements.

Runs daily physician order runs for mailing. Performs duties associated with billing and assisting with collection of accounts receivables.

Provides back-up coverage of the reception desk in the absence of the receptionist and back-up for the schedulers.

Responsibilities :

1. Maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements, running daily physician order runs for mailing / faxing, and maintains confidentiality and safety of patient medical records and information.

2. Print reports for outstanding orders, follow-up with physician offices re : re-printing and / or re-faxing of orders to comply with State of CT Regulations.

3. Reviews and enters patient / client registrations as submitted. Ensures proper pay status, ID numbers, social security numbers, diagnoses codes, and physicians are entered in the computer to generate billing.

4. Conducts insurance verification / authorization process.

5. Review and prepare patient billing, per guidelines established by payor. Prepares bills, copies all forms to be sent with bills, follow-up with billing adjustments and co-pays to individual patients.

Checks paid bills against files to determine collection action.

6. Processes phone calls from patients or patient representatives and supply billing and payment information requested.

7. Performs collection activities for payors.

8. Cover scheduling position when staff is out and / or on vacation.

9. Cover intake assistant duties when staff is out and / or on vacation.

10. Provides back-up coverage of telephone for the reception area.

11. Processes invoices for payment as requested.

12. Fulfills all compliance responsibilities as related to the position.

13. Maintains and Models Nuvance Health Foundational Values.

14. Demonstrates regular, reliable and predictable attendance.

15. Performs other duties as required.

Other information :

Required : High school diploma or equivalent. Accurate keyboarding skills. Valid Driver’s License

Basic knowledge and understanding of computerization and other office machines. Integrity and maturity to handle confidential information

Desired : Previous health care scheduling, medical records, and / or billing experience preferred. Experience with basic bookkeeping principles preferred.

Minimum Experience : one year in a similar environment

Location : Danbury-100 Saw Mill Road

Work Type : Full-Time

Standard Hours : 40.00

FTE : 1.000000

Work Schedule : Day 8

Work Shift : Monday - Friday; 8 : 30 AM - 5 : 00 PM

Org Unit : 617

Department : Financial

Exempt : No

Grade : S4

Salary Range :

$16.3200 - $31.0500 Hourly

Credentials : Essential :

Essential :

Valid Drivers License

Education : Essential :

Essential :

HS Graduate or Equivalent

Working conditions : Essential :

Essential :

• Significant manual skills / motor coord & finger dexterity
• Significant occupational risk
• Very Heavy effort. May exert up to 50 lbs. force
• Significant exposure to dirt, odor, noise, human waste, etc.

EOE, including disability / vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.

If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only).

Job Description.

Quality HealthCare Staffing is always looking for the brightest and most talented healthcare professionals to join our team.

We work with top healthcare organizations across the United States to provide compassionate care to their patients during times of census growth, staffing shortages, and crises.

Whether you're looking for local assignments or eager to put your travel shoes on, we have a team of dedicated recruiters who will help you find your dream job!

Summary :

• We Are Hiring : Legacy Biller.
• Hourly Wage : $80.00 / hour.
• Location : Bronx, New York.

Qualifications :

• Proficient in legacy billing systems and software.
• Extensive knowledge of billing processes and procedures.
• Excellent attention to detail and accuracy in data entry and invoice generation.
• Strong analytical and problem-solving skills to resolve billing discrepancies and issues.
• Effective communication skills to interact with customers and internal stakeholders regarding billing inquiries and concerns.

Responsibilities :

• Reviewing and processing billing documents : Review invoices, receipts, purchase orders, and payment requests for accuracy before processing them.
• Verifying billing data : Ensure that customer details, pricing, discounts, and taxes are correctly entered into the billing system and make any necessary corrections.
• Resolving billing inquiries : Assist customers in resolving questions or concerns regarding their bills, addressing complaints, and investigating billing errors.
• Managing billing records : Maintain organized billing records, ensuring they are up to date and easily accessible for audits or reference purposes.

Requirements

• Highs School Graduate or GED
• Knowledge of computer, including but not limited to Microsoft Office - Word, Excel and Outlook.
• Proficiency in math - Preferred.
• Bilingual - Preferred.

Job Description

The Biller performs a variety of clerical functions, including but not limited to billing of claims, follow up on open claims, processing of refunds, payment posting, data entry, correspondence handling, audits and providing customer service support.

Special Requirements

None

Position Type

Regular

Hours Per Week

Shift

9 : 00a - 5 : 00p

Work Schedule

1. Monday - Friday

Great opportunity

Medical Billing position :

Responsibilities :

Claims submission

EOB Posting and Review

Denial management

Reporting

Prompt document filing.

Skills Needed : Problem Solver

Problem Solver

Organized

Detail Oriented

Team player

Initiator

Computer Savvy

Proficient in Microsoft Word and Excel.

• Fantastic Benefits,
• Frum Environment,
• Central Boro Park Location.
• $55,000-$80,000 annual salary

Position Summary

The Biller is r esponsible for completing claim information, following up on reimbursement for office visits, checking insurance benefits, and ensuring patients are up to date with payments.

This individual will serve as a key point person between practice staff, patients, and insurance companies. This position is ideal for a self-starter with a strong professional background who is willing to support a growing team.

Essential Duties and Responsibilities

The essential functions include, but are not limited to, the following :

Claims creation and submission through applicable practice software

Pre-submission reviews of authorizations and medical invoic es ensuring correct codes, documentation, and necessary information are being provided to carriers

Provides input on system edits, processes, policies, and billing procedures to ensure maximization of revenues

Actively monitors documentation for errors and edits rejected claims for resubmission

Runs daily and weekly reports for billing control purposes

Ensures credibility of payments by validating accounts

Follows up with payments to monitor and solve any discrepancies

Prepares timely and accurate client invoices

Processes voids and rebills for invoices as needed

Ensures that work complies with operational policies and procedures, and regulatory requirements

Participates in workgroups and meetings as well as attends all required training modules

Reviews reports to identify revenue opportunities and unpaid claims

Clears all emails and voicemails by EOD

Minimum Qualifications (Knowledge, Skills , and Abilities)

Associates Degree

3 years' experience in medical billing is strongly preferred

Experience using a practice management system and EHR (Electronic Health Record)

Thorough understanding of CPT, ICD-10 and HCPCS coding

Kn owledge of commercial insurance plans and Medicare

Ability to track assigned insurance claims

Experience using daily denials management tools and reports