Biller - Accounts Receivable - Full Time - Days

$35,360 - $49,920/Yr

Valley Health System - Utica, NY

Full-time

Utica, NY

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

The A/R Biller is a crucial role within the Mohawk Valley Health Systems, responsible for processing all Inpatient and Outpatient accounts to various payors in a timely and accurate manner. This position plays a significant part in promoting the financial stability of the hospital by ensuring that all billing processes are handled efficiently. The A/R Biller will engage with multiple insurance companies, including Medicare, Medicaid, Commercial Insurance, HMOs, and Worker's Compensation/No Fault, to resolve any outstanding issues related to claims. A thorough understanding of medical billing practices and coding, including ICD-9, ICD-10, and HCPCS, is essential for success in this role. In this position, the A/R Biller will maintain a professional working relationship with insurance representatives, utilizing these contacts to address and resolve any discrepancies in claims. The role requires the ability to determine the accuracy of payments received from insurance companies based on various payment structures such as DRG, Contracted Rate, Per Diem, or Fee Schedule. If discrepancies are found, the A/R Biller will initiate adjustments to ensure accounts reflect the correct balances. Additionally, the A/R Biller will monitor account receivables for the Business Office, making necessary phone calls to payors to ascertain the status of accounts and secure payments. The A/R Biller will also be expected to perform other duties as assigned, contributing to the overall efficiency and effectiveness of the billing department. This role is vital in ensuring that the hospital's financial operations run smoothly and that all billing practices comply with relevant regulations and standards.

Responsibilities

• Process all Inpatient and Outpatient accounts to all payors promptly and accurately.
• Promote a professional working relationship with insurance companies.
• Utilize contacts with payor representatives to resolve outstanding issues on claims.
• Determine the accuracy of payments from insurance based on DRG, Contracted Rate, Per Diem, or Fee Schedule.
• Initiate adjustments to accounts as necessary to correct balances.
• Maintain account receivables for the Business Office.
• Make phone calls to payors to determine the status of accounts and secure payments.
• Perform other duties as assigned.

Requirements

• Two years of experience in billing, insurance, and office procedures in a medical setting is required.
• Knowledge of general office equipment, such as copiers, is required.
• Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault is required.
• Knowledge of ICD-9, ICD-10, and HCPCS coding and medical terminology is a plus.

Nice-to-haves

• Course taken in bookkeeping or accounting is preferred.