Patient Accounts Billing Representative

Patient Accounts Billing Representative

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place to Work .

Position Summary

The Patient Accounts Billing Representative is responsible for reviewing unbilled claims and bills, ensuring timely billing and claim resolution to expedite payment. Process all accounts in order to minimize billing time and maximize cash flow. Completes the editing of claims in the HIS system. Completes the processing of claims either on paper or electronically to third-party carriers. Completes follow-up on aged accounts as directed. Review trial balance reports and process late charges.

Essential Functions and Responsibilities Includes the Following :

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors
• Insure adherence to federal and state billing regulations
• Completes accurate billing to all third-party insurance carriers
• Monitors host system and biller scrubber to insure timely resolution of unbilled accounts.
• Completes review of third-party trial balance reports within the current month
• Researches and initiates refunds to patients or insurance carriers as needed
• Sends inquiries to patients regarding inaccurate or incomplete information
• Completes charge adjustments and allowances entries on accounts as needed
• Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes
• Processes rejections on third party accounts
• Reviews mail correspondence and responds accordingly
• Review online billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS
• Assists with telephone calls as needed
• Completes rebilling process for late charges daily
• Monitors host system and bill scrubber for billing delays and to expedite processing 16. Performs all other related duties as assigned

Education & Experience Requirements

Core Competencies

Physical / Mental Demands / Requirements & Work Environment

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

Salary range : $53,840.67-$80,782.07

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