Medical Biller/AR Specialist

Job Description

Job Description

The Ambulatory Surgery Center of Westchester, located in Mount Kisco, NY 10549, is seeking a full-time Medical Biller/AR Specialist with experience in ambulatory surgery.

Position Summary:

Responsible for the accurate and timely submission of all insurance claims and patient statements. Ensures that all receivables are correctly posted to the electronic billing software system and deposited in the bank. Works with Management Company, Administrator, Clinical Coordinator, Business Office members, and Physicians to achieve the objectives, visions, and goals of the Center.

Responsibilities:

• Responsible for the daily generation of all insurance claims within 1-2 business days of case completion.
• Ensure coding accuracy by reviewing procedure documentation.
• Resolves any and all coding discrepancies with the physician or administration before submitting claims to insurance.
• Complies with CMS NCCI when accurately completing UB04 and HCFA 1500 claims for electronic or paper submission.
• Monitors aging A/R and conducts status updates for all insurance claims outstanding longer than 30 days from date of service.
• Corrects and resubmits rejected or denied claims.
• Submits Appeals to Insurance Carriers
• Conducts monthly patient account balance statement review and subsequent billing.
• Arranges patient payment programs in compliance with Center’s policy.
• Posts all insurance and patient claim payments to the billing system.
• Copies, organizes, and stores all checks and explanations of benefits.
• Responsible for daily bank deposits.
• Produces daily payment reports and reconciliation with deposits for administrative review.
• Fields all billing-related questions that patients may have.
• Checks insurance benefits as needed.
• Provides backup in the following areas as needed: reception, benefit verification, accounts receivable, and scheduling. Duties may include but are not limited to answering phones, patient admission, medical records, scanning, insurance benefit verification, and patient scheduling.
• Participates in appropriate meetings.
• Participates and supports research and improvement studies that can make meaningful contributions to the quality and economy of the center’s services.

Work Remotely

• No

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Dental insurance
• Vision insurance
• Flexible spending account
• Life insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Paid time off

Experience:

• Medical billing: 1 year (Preferred)
• ICD-10: 1 year (Preferred)

Work Location: In person

The Ambulatory Surgery Center of Westchester (ASCW) in Mount Kisco, New York, is a state-of-the-art Outpatient Surgical Center that is clinically affiliated with:

-Putnam Hospital Center
-And Many of the Finest Surgeons in Westchester and Putnam Counties.
-As we are an Independent Facility, We Are NOT part of the OPTUM or Caremount Network.

All of our surgeons and anesthesiologists are Board Certified or in the examination process in one or more of the following clinical specialties:

-Anesthesiology
-Pediatric Anesthesiology
-Ear, Nose, and Throat Surgery
-General Surgery
-Gynecology
-Ophthalmology
-Pain Management
-Orthopedic Surgery
-Plastic Surgery
-Podiatry
-Urology
-Pediatric Urology
-Pediatric Ophthalmology

The ASCW is:
-Accredited by the Accreditation Association for Ambulatory Health Care
-Certified by the Centers for Medicare and Medicaid Services
-Licensed by the New York State Department of Health

Company Description

The Ambulatory Surgery Center of Westchester (ASCW) in Mount Kisco, New York, is a state-of-the-art Outpatient Surgical Center that is clinically affiliated with:\r\n\r\n-Putnam Hospital Center\r\n-And Many of the Finest Surgeons in Westchester and Putnam Counties.\r\n-As we are an Independent Facility, We Are NOT part of the OPTUM or Caremount Network.\r\n\r\nAll of our surgeons and anesthesiologists are Board Certified or in the examination process in one or more of the following clinical specialties:\r\n\r\n-Anesthesiology\r\n-Pediatric Anesthesiology\r\n-Ear, Nose, and Throat Surgery\r\n-General Surgery\r\n-Gynecology\r\n-Ophthalmology\r\n-Pain Management\r\n-Orthopedic Surgery\r\n-Plastic Surgery\r\n-Podiatry\r\n-Urology\r\n-Pediatric Urology\r\n-Pediatric Ophthalmology\r\n\r\nThe ASCW is:\r\n-Accredited by the Accreditation Association for Ambulatory Health Care\r\n-Certified by the Centers for Medicare and Medicaid Services\r\n-Licensed by the New York State Department of Health