Follow up with payers to ensure timely resolution of outstanding claims via phone, email, fax, or web portals.
Review and update patient and financial information accurately.
Verify responsibility for bill payment and monitor billings for accuracy.
Bill hospital services to the primary insurer or patient within required timeframes.
Follow up with insurance companies on assigned accounts and explain applicable hospital payment regulations.
Identify and report underpayments and denial trends.
Analyze and resolve issues causing payer payment delays and initiate appeals when necessary.
Use Excel spreadsheets to analyze and communicate results.
Maintain daily productivity and quality standards while acting professionally with patients, payors, coworkers, management, and clients.
Maintain confidentiality and comply with HIPAA and information security policies.
High school diploma or equivalent required.
Medical billing and coding certification preferred, but not required.
Hospital or facility billing experience required.
2-3 years of experience in insurance collections, including submitting and following up on claims.
Basic knowledge of healthcare claims processing, including ICD-9/10, CPT, HCPCS, and UB-04.
Experience with workflow and host systems such as STAR, SMS, EAGLE, and EPIC.
Working knowledge of insurance follow-up and healthcare reimbursement methodologies.
Understanding of government, Medicare, and Medicaid claims.
Proficiency with Microsoft Office Suite, including Excel and Word.
Strong communication, interpersonal, problem-solving, and organizational skills.
Basic math and typing skills.
Ability to handle stress, follow directions, and collaborate with others.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago