DUTIES: - Obtain and complete all necessary demographics, financial and other data needed for billing as per billing unit policy and procedure. - Prepare and amend claims for submission to carriers/intermediaries; Follow up with carriers and intermediaries on unpaid and incorrectly paid claims; Remain cognizant of all HIPPA privacy rules related to PHI and claim submission. - Request or retrieve billing material from other departments and communicate with carriers and intermediaries when explanations or clarifications are required. - Update and maintain client demographic and financial data received via mail/telephone or verbally. Communicate anomalies in billing data. - Attend internal and external in-service forums pertinent to billing regulations; Attend all scheduled departmental meetings. - Write appeal letters for denials to insurance companies as needed. - Inform supervisors of all incidents and anomalies that will impact billing and collections. (DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION) QUALIFICATIONS: - Three (3) years of billing experience in a related healthcare facility. - Experience in Third Party billing and collections for hospital physician groups. - Knowledge of Siemens/AHW Eagle System. - Ability to prioritize one's own work in a fast-paced environment. - Perform all other duties needed to facilitate hospital reimbursement as needed. Preferred: - Bachelor's Degree. - Coding and ICD 10 background. Additional Info: *Please ensure you include the 5-digit Line Number and Job Title in the subject line and body of your email submission.Closing Date: Open Until Filled STATE UNIVERSITY OF NEW YORK IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Internal Number: 53292
About SUNY Downstate Medical Center
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.