Job Description:
Nuvance Health has a network of hassle-free healthcare 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 places, consisting of The Heart Center, a leading service provider of cardiology care, and 2 immediate care workplaces. Non-acute care is used through different affiliates, consisting of the Thompson House for rehab and knowledgeable nursing services, and the Home Care companies.
Title: Billing Associate/Collections
Purpose:
This position is accountable for a range of responsibilities 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 tasks for the particular payers designated to the POD.
Essential Responsibilities:
1. Evaluations and modifies market info and other Pre-Billing functions consisting of, processing claims through electronic system, fixing all mistakes prior to submission and confirming claims gotten by Payer (NEIC report).
2. Gets in 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 techniques, and the medical facility client accounting systems.
4. Function as a “Subject Matter Expert” for all concerns worrying appointed payers, and goes to associated conferences with payers to attend to and deal with issues and to collect info in preparation for those conferences.
5. Evaluations and fixes medical requirement type rejections appointed 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 crucial problems observations, problems and patterns. Maintains 100% typical efficiency.
7. Understanding of all payer agreements that are appointed to the Payer POD and able to carry out extra projects associated with those payers.
8. Satisfies efficiency objectives as specified by senior management (ex: tidy claim rate, and so on). Satisfies performance and quality metrics daily/weekly.
9. Keep and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
10. Shows routine, reputable 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 constraints of a certified candidate with an impairment unless the lodging would enforce an unnecessary difficulty on the operation of our company. If you think you need such help to finish this kind or to take part in an interview, please contact Human Resources at 203-739-7330(for sensible lodging demands just). Please offer all details asked for to ensure that you are thought about for present or future chances.
Nuvance Health.
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