DUTIES: The Lead Biller will perform the following duties: Assist unit manager and supervisor with daily reports and staff management. Obtaining and completing all necessary demographics, financial, and other data needed for billing and updating system 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/retrieve billing material from other departments, i.e., Medical Records, Payors, reports, etc.; 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. Perform all other duties needed to facilitate hospital collection and reimbursement as needed. (DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION) QUALIFICATIONS: REQUIRED: Coding Certification and/or prior supervisory experience and ten (10) or more years of billing experience. Ability to prioritize own work in a fast paced environment. PREFERRED: Bachelor's Degree. Experience in Third Party Billing and Collections for Hospital Physician Groups. Knowledge of Siemens/AHW Eagle System. Additional Info: Hours of work: 9:00am - 5:00pm Days of week: Monday thru Friday Hours per week: 37.5Closing Date: Open Until Filled STATE UNIVERSITY OF NEW YORK IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Internal Number: 53335
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.