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BILLER - A/R - Full Time

Mohawk Valley Health System
Posted 2 months ago, valid for 17 days
Location

Utica, Oneida 13503, NY

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • The A/R Biller is responsible for processing inpatient and outpatient accounts to ensure financial stability within the hospital.
  • Candidates must have two years of experience in billing and insurance procedures in a medical setting.
  • The position requires knowledge of Medicare, Medicaid, Commercial Insurance, and coding systems like ICD-9 and ICD-10.
  • The pay range for this position is between $19 and $26.44 per hour, depending on experience.
  • The role involves maintaining account receivables and communicating with insurance companies to resolve claims issues.

Job Summary

The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.  Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.

Core Job Responsibilities

  • Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.
  • Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule.  Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments.
  • Maintains account receivables for the Business Office. Makes phone calls to the appropriate payor to determine status of account and secure payment.
  • Other duties as assigned

Education/Experience Requirements

Required: 

  • Two years experience in billing, insurance, office procedures in a medical setting
  • Knowledge of general office equipment e.g. copier is required


Preferred: 

  • Course taken in book keeping or accounting

Licensure/Certification Requirements


 

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 96804 
Department ACCTS RECEIVABLE & COLLECTION 
Shift Days
Shift Hours Worked 7.50
FTE 0.94 
Work Schedule HRLY NON-UNION
Employee Status A1 - Full-Time 
Union Non-Union
Pay Range $19 - $26.44
 




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