Job Description:
Nuvance Health has a network of hassle-free medical facility and outpatient places– 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 places, consisting of The Heart Center, a leading company of cardiology care, and 2 immediate care workplaces. Non-acute care is used through different affiliates, consisting of the Thompson House for rehab and proficient 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 market details and other Pre-Billing functions consisting of, processing claims through electronic system, remedying all mistakes prior to submission and confirming claims gotten by Payer (NEIC report).
2. Goes into all transactional remarks into the system to guarantee 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, reliable follow-up and collection techniques, and the health center client accounting systems.
4. Serve as a “Subject Matter Expert” for all concerns worrying designated payers, and participates in associated conferences with payers to resolve and solve issues and to collect info in preparation for those conferences.
5. Evaluations and fixes medical requirement type rejections designated to the POD, utilizing payer particular scientific policies and language.
6. Takes part in payer conferences as an agent of the SBO and notifies Supervisors/Managers of essential concerns observations, concerns and patterns. Maintains 100% typical performance.
7. Understanding of all payer agreements that are appointed to the Payer POD and able to carry out extra tasks connected to those payers.
8. Satisfies efficiency objectives as specified by senior management (ex: tidy claim rate, and so on). Fulfills performance and quality metrics daily/weekly.
9. Keep and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
10. Shows routine, dependable and foreseeable presence.
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 an affordable lodging to the recognized physical or psychological restrictions of a certified candidate with a special needs unless the lodging would enforce an excessive challenge on the operation of our service. 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 ensure that you are thought about for present or future chances.
Nuvance Health.
No comments:
Post a Comment