Account Administrator-Revenue Cycle

Title: Account Administrator-Revenue Cycle

Location: Upper East Side

Org Unit: Billing

Work Days: fully on site

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $25.34 - $27.75

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Position Summary

Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with departmental and Physician Organization (PO) billing policies and procedures

Job Responsibilities

• As needed, assists with the development and implementation of revenue cycle strategies and workflows that will enhance cash collections, expedite account resolution and streamline billing processes.

• Reconciles revenue cycle matters such as past due accounts and invoices; reviews aging balances and takes appropriate actions to resolve unpaid receivables.

• Composes and maintains billing and/or billing compliance associated correspondence. Determines proper account resolution and/or adjustment as needed.

• Performs charge entry and/or payment posting within the practice management billing system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary.

• Obtains, reviews and updates patient demographic and insurance information within the practice management billing system.

• Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.

• Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.

• Provides back-up for front-end revenue cycle processes, which may include but is not limited to, the check-in/check-out of patients and collection/reconciliation of time-of-service payments, as applicable.

• Answers phones, responds to billing inquiries and disputes.

• Generates reports for analysis.

Education

• High School Diploma

Experience

Approximately 2 years of medical billing experience

Knowledge, Skills and Abilities

• Prior experience working with an eMR system.

• Demonstrated knowledge of medical terminology.

• Knowledge of third party reimbursement.

• Knowledge of CPT, ICD9, and ICD10 coding.

Licenses and Certifications

Working Conditions/Physical Demands

Standard office work

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