BILLING REPRESENTATIVE
Company: Montefiore Health System
Location: New York
Posted on: March 4, 2025
Job Description:
The Billing Representative will participate in the patient fee
billing and collection system. The Billing Representative will
collaborate with clinical staff to obtain all necessary
documentation required for billing to Patient, Medicaid, or other
insurance and will enter financial data in the program's billing
database and will work to resolve any denied
payments.Responsibilities:
- Collaborate with clinical staff to obtain all necessary
documentation required for billing to patient, Medicaid, or other
insurances. Enter financial data, including Medicaid numbers,
gender, date of birth and other insurance codes into program's
billing database.
- Set all weekly rates using a sliding fee scale and
documentation provided by the patient. With appropriate
documentation, review requests from the clinic for adjustment of
patient weekly fees and balances.
- Review financial assessment performed by clinical staff of all
patients upon admission or change in patient's financial
circumstances to determine method of payment for services.
- Identify and contact clinical staff regarding patients who are
delinquent in paying for program services.
- Review, process, and monitor billing for claims service claims
including OTP, HIV Counseling, Case Management and Testing, HIV
Primary Care, Chemical Dependency and patient transportation.
- Ensure billing is scheduled and collections are reviewed on a
continuous basis. Maintain contact with program's billing services,
insurance companies, Medicaid, and NYC dept. of finance.
- Compute and submit revenue deposits posted on a general ledger
and reported on grants.
- Bill private insurance carriers for patients whose care is
reimbursable through these companies. Maintain records of patients
with private insurance.
- Prepare and submit claims, re-billing denied claims and back
billing claims to Medicaid and other accepted insurances. Maintain
database reconciliation. Review denials and enter corrections into
billing database.
- Develop reports to track weekly scheduled visits.
- Perform other duties as assigned.Qualifications:
- Must have high level of proficiency with MS Office (Word,
Excel), medical databases (EPIC, office ally, IMA), completing
claim forms submitting requested information to vendors.
- Must type 25 Words per minute.
- High School Diploma / GED required, medical billing and coding
preferred.
- 3 + years of working experience as a Medical Coder (CPC
strongly preferred) with insurance verification and authorization
is a must.
- Must have strong knowledge of CPT and ICD-10 billing codes and
knowledge of Medicaid and commercial insurance billing.
- Must be detail oriented, be able to meet strict deadlines, and
have strong customer service skills to be able to interact with
patients and industry professionals.This is a 100% Grant funded
position.Department: Psychiatry and Behavioral SciencesBargaining
Unit: 1199Campus: HUTCHEmployment Status: Regular Full-TimeAddress:
1510 Waters Place, BronxShift: DayScheduled Hours: 9 AM-5 PMReq ID:
223566Salary Range/Pay Rate: $26.64For positions that have only a
rate listed, the displayed rate is the hiring rate but could be
subject to change based on shift differential, experience,
education or other relevant factors.Montefiore is an equal
employment opportunity employer.Mission:To heal, to teach, to
discover and to advance the health of the communities we
serve.Vision:To be a premier academic medical center that
transforms health and enriches lives.Values:Define our philosophy
of care, they shape our actions and motivate and inspire us to
pursue excellence and achieve the goals we have set forth for the
future.
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Keywords: Montefiore Health System, New York , BILLING REPRESENTATIVE, Accounting, Auditing , New York, New York
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