Job Description:
Nuvance Health has a network of hassle-free medical facility and outpatient areas– Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York– plus numerous main and specialized care doctor practices areas, consisting of The Heart Center, a leading service provider of cardiology care, and 2 immediate care workplaces. Non-acute care is provided through numerous affiliates, consisting of the Thompson House for rehab and competent nursing services, and the Home Care companies.
Title: Billing Associate/Collections
Purpose:
This position is accountable for a range of tasks consisting of, billing, collection, follow up, appeals procedure and credits, in order to support the Health Quest System Business Office provide the greatest level of service. Carries out all task associated responsibilities for the particular payers designated to the POD.
Essential Responsibilities:
1. Evaluations and modifies group info and other Pre-Billing functions consisting of, processing claims through electronic system, fixing all mistakes prior to submission and verifying claims gotten by Payer (NEIC report).
2. Goes into all transactional remarks into the system to ensure precise account paperwork.
3. Maintains present understanding of health centers’ billing systems consisting of billing kinds and filing requirements, numerous payer agreements, Federal, State and handled care billing methods, guidelines and guidelines, efficient follow-up and collection methods, and the medical facility client accounting systems.
4. Function as a “Subject Matter Expert” for all concerns worrying designated payers, and participates in associated conferences with payers to attend to and deal with issues and to collect details in preparation for those conferences.
5. Evaluations and deals with medical requirement type rejections designated to the POD, utilizing payer particular medical policies and language.
6. Takes part in payer conferences as an agent of the SBO and notifies Supervisors/Managers of essential problems observations, problems and patterns. Maintains 100% typical efficiency.
7. Understanding of all payer agreements that are designated to the Payer POD and able to carry out extra tasks connected to those payers.
8. Fulfills efficiency objectives as specified by senior management (ex: tidy claim rate, and so on). Fulfills efficiency and quality metrics daily/weekly.
9. Preserve and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
10. Shows routine, reputable and foreseeable participation.
11. Carries out other responsibilities as needed.
Location: Wappingers Falls-1530 Route 9
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: DAY 1
Work Shift: 830 -5 pm
Org Unit: 907
Department: Occupational Medicine
Exempt: No
Grade: S4
EOE, consisting of disability/vets.
We will venture to make a sensible lodging to the recognized physical or psychological constraints of a certified candidate with a special needs unless the lodging would enforce an excessive challenge on the operation of our company. If you think you need such support to finish this kind or to take part in an interview, please contact Human Resources at 203-739-7330(for affordable lodging demands just). Please supply all details asked for to guarantee that you are thought about for existing or future chances.
Nuvance Health.
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