Patient Acount Specialist

Billing Specialist

Have an understanding of APGs, and clinic billings

Bills government accounts within twenty-four (24) hours of bill drop. Daily reviews billing reports and makes necessary corrections in the electronic billing system as well as in Meditech

Works with Medical Records, Utilization Management, Patient Access, clinics, guarantor, physician, etc to obtain and/or clarify required billing data that errors out in DDE and billing system.

Establishes adequate follow-up dates so that accounts are worked timely to ensure prompt payment on claims

Documents all billing and follow-up activities in the Meditech system in a clear and effective manner.

Requests and sends any additional information and/or medical records needed to process claims for payment.

Works correspondence with forty-eight (48) hours of receipts, taking whatever action may be necessary to get claims paid

Ensures the Hospital is in compliance with all state and federal rules and regulations and reports any suspected compliance issues to manager.

Works the Medicare's 72 hour rule report daily and Medicaid's APG reports to combine accounts as required.

Processes outlier accounts when assigned. Identity and process outliers, short stays and long stay accounts.

Performs other duties as assigned.

Reviews Medicaid and Medicare worksheets and remittance advises to identify variances between DRG and outstanding balance due.

This position requires a minimum formal education of High School Diploma or equivalent

MON - FRI 9AM-5PM

Rate $31.7492

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Wyckoff Heights Medical Center