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Sr. Outpatient Biller

Company: White Plains Hospital Center
Location: White Plains
Posted on: June 8, 2021

Job Description:

White Plains Hospital Job Description Title: SR.Outpatient Biller Job Code: 800569 Department/Location: Patient Accounts FLSA Status: Non-Exempt Reports to: Supervisor, Patient Accounts Position Summary The SR. Outpatient Biller is responsible for review of unbilled claims and bills, assure timely billing and claim resolution to#expedite payment. Responsible for reporting and monitoring of all unbilled claims and accounts. Troubleshoot billing#issues to prevent future claim errors. Assist the supervisor with oversight of the billing team. Audits accounts to ensure#accuracy and timely resolution. Evaluate and education billing team on performance. Responsible for training on billing#systems and staff responsibilities. Essential Functions and Responsibilities Includes the Following: # Understands and adheres to the WPH Performance Standards, Policies and Behaviors. Assist management in staff evaluation, performance review and reports as assigned Insure adherence to federal and state billing regulations Monitors host system and biller scrubber to insure timely resolution of unbilled accounts. Responsible for reporting out to management regarding billing and claim delays Completes accurate billing to all third-party insurance carriers. Completes review of third-party trial balance reports within the current month. Researches and initiates refunds to patients or insurance carriers as needed. Sends inquiries to patients regarding inaccurate or incomplete information. Completes charge adjustments and allowances entries on accounts as needed. Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes. Processes rejections on third party accounts. Reviews mail correspondence and responds accordingly. Review on-line billing edits for errors, corrections or missing information. Enter necessary corrections into HIS. Assists with telephone calls as needed. Completes rebilling process for late charges on a daily basis. Performs all other related duties as assigned. # Education # Experience Requirements High School Diploma required. College Degree preferred. Clerical experience required. - At least 2 years# experience with hospital billing, senior level experience preferred - Ability to use basic office equipment and knowledge of CTR computer terminals required. - Medical terminology helpful but not mandatory. Core Competencies Ability to cooperate with others. Must be able to speak, write understand and communicate the English language. Effectively communicate with internal and external customers. #

White Plains Hospital Job Description

Title: SR.Outpatient Biller Job Code: 800569

Department/Location: Patient Accounts FLSA Status: Non-Exempt

Reports to: Supervisor, Patient

Accounts

Position Summary

The SR. Outpatient Biller is responsible for review of unbilled claims and bills, assure timely billing and claim resolution to expedite payment. Responsible for reporting and monitoring of all unbilled claims and accounts. Troubleshoot billing issues to prevent future claim errors. Assist the supervisor with oversight of the billing team.

Audits accounts to ensure accuracy and timely resolution. Evaluate and education billing team on performance. Responsible for training on billing systems and staff responsibilities.

Essential Functions and Responsibilities Includes the Following:

  • Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
  • Assist management in staff evaluation, performance review and reports as assigned
  • Insure adherence to federal and state billing regulations
  • Monitors host system and biller scrubber to insure timely resolution of unbilled accounts.
  • Responsible for reporting out to management regarding billing and claim delays
  • Completes accurate billing to all third-party insurance carriers.
  • Completes review of third-party trial balance reports within the current month.
  • Researches and initiates refunds to patients or insurance carriers as needed.
  • Sends inquiries to patients regarding inaccurate or incomplete information.
  • Completes charge adjustments and allowances entries on accounts as needed.
  • Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes.
  • Processes rejections on third party accounts.
  • Reviews mail correspondence and responds accordingly.
  • Review on-line billing edits for errors, corrections or missing information. Enter necessary corrections into HIS.
  • Assists with telephone calls as needed.
  • Completes rebilling process for late charges on a daily basis.
  • Performs all other related duties as assigned.

Education & Experience Requirements

  • High School Diploma required. College Degree preferred.
  • Clerical experience required.
  • - At least 2 years' experience with hospital billing, senior level experience preferred
  • - Ability to use basic office equipment and knowledge of CTR computer terminals required.
  • - Medical terminology helpful but not mandatory.

Core Competencies

Ability to cooperate with others.

Must be able to speak, write understand and communicate the English language.

Effectively communicate with internal and external customers.

Keywords: White Plains Hospital Center, White Plains , Sr. Outpatient Biller, Other , White Plains, New York

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