The A/R Biller is responsible for processing inpatient and outpatient accounts for all payors promptly and accurately to support financial stability within the hospital.
This role works closely with insurance companies to resolve claim issues, verify payment accuracy based on contract terms, and maintain receivables for the Business Office.
Key responsibilities include:
- Process inpatient and outpatient accounts for Medicare, Medicaid, commercial insurance, HMOs, and workers' compensation/no-fault payors.
- Build professional working relationships with insurance company representatives.
- Research outstanding claims and use payer contacts to resolve issues when needed.
- Determine whether payments are accurate based on DRG, contracted rate, per diem, or fee schedule.
- Initiate adjustments when necessary to correct account balances.
- Monitor payer reimbursement trends and report inappropriate payments to management.
- Maintain accounts receivable for the Business Office.
- Make follow-up calls to payors to determine claim status and secure payment.
- Perform other duties as assigned.
Requirements & Qualifications
Required:
- Two years of experience in billing, insurance, and office procedures in a medical setting.
- Knowledge of general office equipment, such as copiers.
- Experience billing Medicare, Medicaid, commercial insurance, HMOs, and workers' compensation/no-fault.
- Familiarity with ICD-9, ICD-10, HCPCS coding, and medical terminology is a plus.
Preferred:
- Coursework in bookkeeping or accounting.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago