Northwell Health Practice Billing Associate in Staten Island, New York

Req Number 001AOH

Job Category Billing Clerical

Job Description

Performs billing, collections, third party reimbursements, computer data entry and retrieval, ensures charges are posted to accounts accurately.

Responsibilities Include:

  • Performs charge and payment entry:

  • Performs coding and ensures accurate completion of coding for all assigned physician specialties (CPT and ICD-9 codes);

  • Reviews physician’s coding and identify possible conflicts in NCCI rules;

  • Notifies physician when discrepancies are identified for correction.

  • Coordinates incoming mail with open queue charges to maintain queue status;

  • Reads and interprets insurance explanation of benefits. Responds to insurance payer edits, rejections, and denials. Identifies cause of rejections and chooses most appropriate methods to resolve them.

  • Creates detailed, well-versed typed letters to insurances and patients.

  • Creates effective appeal packages to submit to insurances.

  • Communicates in an effective professional manner when speaking with insurances and patients.

  • Maintains organized files of incoming and completed work.

Qualifications

  • High School Diploma or equivalent, required.

  • Minimum of three (3) years of charge and payment billing experience, required. Billing experience in a physician practice, preferred.

  • Ability to work independently, unsupervised, and efficiently, while maintaining workload at expected levels