Job Description:
Nuvance Health has a network of practical health center 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 service provider of cardiology care, and 2 immediate care workplaces. Non-acute care is provided 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 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 responsibilities for the particular payers designated to the POD.
Essential Responsibilities:
1. Evaluations and modifies group 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 documents.
3. Maintains existing understanding of medical facilities’ billing systems consisting of billing kinds and filing requirements, different payer agreements, Federal, State and handled care billing approaches, guidelines and policies, reliable follow-up and collection methods, and the healthcare facility client accounting systems.
4. Serve as a “Subject Matter Expert” for all concerns worrying appointed payers, and goes to associated conferences with payers to deal with and solve issues and to collect details in preparation for those conferences.
5. Evaluations and deals with medical requirement type rejections appointed 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 crucial problems observations, concerns and patterns. Maintains 100% typical performance.
7. Understanding of all payer agreements that are designated to the Payer POD and able to carry out extra projects connected to those payers.
8. Fulfills 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, trusted 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 strive to make a sensible lodging to the recognized physical or psychological constraints of a certified candidate with an impairment unless the lodging would enforce an excessive difficulty on the operation of our organization. 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 offer all info asked for to guarantee that you are thought about for present or future chances.
Nuvance Health.
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