Accounts Receivable Representative I
hace 1 día
Ronkonkoma
How you move is why we're here. Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status: Regular Full time Work Shift: Compensation Range: The base pay scale for this position is $37.36 - $37.36. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future. Minimum one (1) year of experience in hospital and/or professional billing, insurance follow-up, customer service, patient financial services, cash posting, or a related healthcare environment. Previous Hospital Billing (HB) and/or Professional Billing (PB) follow-up experience preferred. Experience with: • Hospital billing and/or Professional billing and insurance follow-up, • Basic denial management, • Epic Resolute Hospital Billing and/or Professional Billing, • Commercial, Medicare, Medicaid, Workers' Compensation, No-Fault, and Managed Care reimbursement, • Microsoft Office Suite with emphasis in Excel, • Strong customer service, communication, organizational skills, and attention to detail, • Ability to meet productivity and quality standards within a revenue cycle environment, • Understanding of basic revenue cycle functions., • Knowledge of claim lifecycle from billing through reimbursement., • Basic understanding of CPT, HCPCS, ICD-10, and insurance terminology. Physical Working Conditions: Sitting in a comfortable position with frequent opportunity to move throughout the department and hospital campus. Frequent use of computers, telephones, and standard office equipment. Environmental Working Conditions: Comfortable indoor office environment. Hazards OSHA: Category 3. Tasks involve no exposure to blood, body fluids, tissues, or other potentially infectious materials. Category 1 tasks are not a condition of employment. Position & Unit Accountabilities: • Resolves Payor Issues, • Supports Claim Resolution, • Maintains Documentation & Account Information, • Coordinates Interdepartmental Communication, • Productivity & Operational Performance, • Compliance, • Team Collaboration Education Required: High School Diploma or equivalent (G.E.D.), may include specialized or vocational courses. Education Preferred: Associate's degree in healthcare administration, Business Administration, Health Information Management, or related field preferred. Certifications / Licensure Required: None. Certifications / Licensure Preferred: • Certified Revenue Cycle Representative (CRCR), • Certified Professional Biller (CPB), • Other healthcare revenue cycle certifications preferred. Skills Required: • Insurance follow-up and account resolution, • Hospital Billing (HB) and/or Professional Billing (PB), • Basic denial management, • Ability to navigate Epic Resolute Hospital Billing and/or Professional Billing workqueues, account activity, claim history, and follow-up documentation functions., • Microsoft Office Suite, • Customer service, • Effective verbal and written communication, • Attention to detail, • Organization and time management, • Ability to manage assigned inventory and prioritize workload Skills Preferred: • Epic Resolute Hospital Billing and/or Professional Billing experience, • Knowledge of payer reimbursement methodologies, • Insurance follow-up and basic denial resolution, • Commercial, Medicare, Medicaid, Workers' Compensation, No-Fault, and Managed Care follow-up, • Ability to identify routine claim issues and escalate complex reimbursement concerns appropriately Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.