BILLING CONTROL SPECIALIST

Riverhead, NY

St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. St. Catherine's is located on the north shore of Long Island in Smithtown. The campus is comprised of a 296-bed not-for-profit community hospital; a 240-bed nursing and rehabilitation care center; and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families and our community. Our Mission is to create an environment of healing and compassion, to offer care to those in need and to provide a spirit of mutual respect while upholding our religious mission.

St. Catherine of Siena Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials. Our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

BILLING CONTROL SPECIALIST POSITION SUMMARY:

• Assist Office Supervisor in the billing operations of St. Catherine of Siena PROS
• Review in-house billing systems to ensure compliance with regulatory agencies
• Work closely with Office Supervisor to ensure accuracy of charges, billing and documentation
• Able to handle challenging situations in an often high stress environment, think objectively and be detail oriented

BILLING CONTROL SPECIALIST DUTIES/RESPONSIBILITIES:

• Assist Office Supervisor and Internal Control Specialist in maintaining charts according to regulatory standards
• Complete attestations and submit to accounting on a monthly basis
• Assist Office Supervisor with conducting individual financial intakes as needed
• Gather insurance information for new admissions inputting them into the HER
• Upload documents into EHR as needed
• Collect co-pays for services provided when needed
• Provide feedback to the Internal Control Specialist, Program Manager and or Program Director of any discrepancies, ensure adjustments and advise Program Manager / Director
• Identify trends and informs Program Manager / Program Director
• Assist with completion of private insurance applications to ensure that we can bill as needed
• Assist with verification of service(s) as applicable
• Maintain and submit data to various agencies, including OMH
• Responsible for monthly reporting as necessary
• Provide back up clerical coverage and data entry as needed
• Attend all applicable departmental meetings
• Maintain and oversee the program Purchase cards, including the documentation and reporting of expenditures
• Serve as a member of the multi-disciplinary team as appropriate.
• Assist with the program re-certification process.
• Responsible for ensuring timely reporting of work-related injuries, via incident/accident reports, to the Human Resources Department within 24 hours.
• Interrupt and report suspected abuse to an administrator immediately and conform to NYS Justice Center Social Service Law including the Code of Conduct.

BILLING AND CONTROL SPECIALIST REQUIREMENTS:

• HS diploma/equivalent 3-5 years billing experience
• Experience working with individuals with behavioral health needs preferred.
• Excellent verbal and written communication skills.
• Computer skills required

The pay for this position ranges from $23.07- $28.20 per hour.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.