Medical Billing Representative

Job Description:

Our Westchester, NY-based client seeks two Temp-to-Perm Billing Representatives.

Billing Representative Position Summary
The Patient Accounts Billing Representative is responsible for the review of unbilled claims and bills, ensuring timely billing and claim resolution to expedite payment. Process all accounts 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.

• Temp rate: Pay up to $30
  
• Perm Salary - $53K - $80K.
  
• Hours are flexible: 8 am-4 pm, 8:30 am-4:30 pm & 9 am-5 pm.
  
• The schedule is Monday through Friday, but they would be open to a Sunday through Thursday or Tuesday through Saturday shift.
  
  Essential Functions and Responsibilities Include the Following:
  1. Understands and adheres to the client’s Performance Standards, Policies and Behaviors
  2. Ensure adherence to federal and state billing regulations
  3. Completes accurate billing to all third-party insurance carriers
  4. Monitors host system and biller scrubber to ensure timely resolution of unbilled accounts
  5. Completes review of third-party trial balance reports within the current month
  6. Researches and initiates refunds to patients or insurance carriers as needed
  7. Sends inquiries to patients regarding inaccurate or incomplete information
  8. Completes charge adjustments and allowances entries on accounts as needed
  9. Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes
  10. Processes rejections on third-party accounts
  11. Review mail correspondence and respond accordingly
  12. Review online billing edits for errors, corrections, or missing information. Enter necessary corrections into HIS
  13. Assists with telephone calls as needed
  14. Completes rebilling process for late charges daily
  15. Monitors host system and bill scrubber for billing delays and to expedite processing
  16. Performs all other related duties as assigned
  

  Requirements:

  Education & Experience Requirements
  
• High School Graduate required
  
• Clerical experience required
  
• Clerical and business aptitude with one to two years hospital experience
  
• Ability to use basic office equipment and knowledge of CTR computer terminals a plus
  
• Medical terminology is helpful but not mandatory
  
• Effective 12/1/2022, the HBI (Healthcare Business Insights) one-time certification course is required and must be completed during the onboarding period and prior to the start date
  
  Core Competencies
  
• Ability to cooperate with others
  
• Must be able to speak, write, understand, and communicate in English
  
• Effectively communicate with internal and external customers
  
• Integrity to handle the confidential aspects of work.
  
• Retains composure under stress