At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.
We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place To Work.
Position Summary
Responsible for initiating follow-up to third party payers on delinquent accounts and reviewing insurance correspondence and responding in a timely manner. Responsible for supplying third party payers with appropriate billing information in order to adjudicate a claim. Responsible for assuring appropriate payment received in accordance with contract terms
Performs other duties as assigned
Essential Functions and Responsibilities Includes the Following:
1. Understands and adheres to the WPH Performance Standards, Policies and Behaviors (Standard for All Job Descriptions).
2. Performs all other related duties as assigned (List last-Standard for all Job Descriptions)
3. Completes review of third party outstanding balances and takes appropriate steps to resolve and reconcile outstanding balances
4. Reviews correspondence for appropriate action to resolve accounts.
5. Researches and initiates refunds to patients or insurance carries as needed.
6. Sends inquiries to patients regarding inaccurate or incomplete information.
7. Completes charge adjustments and allowances entries on accounts as needed.
8. Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes.
9. Processes rejections on third party accounts.
10. Reviews on-line billing edits for errors, corrections or missing information. Enter necessary corrections into HIS
11. Assists with telephone calls as needed.
12. Works with vendors as necessary to reconcile and resolve outstanding accounts.
13. Assures payers process claims timely and according to contract provisions.
Education & Experience Requirements
High School Graduate required
Clerical experience preferred
Hospital business office experience preferred
Computer experience required
Core Competencies
Teamwork, Communication skills, problem-solving, adaptability
Physical/Mental Demands/Requirements & Work Environment
•May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) data base and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc. (Standard for all Job Descriptions)
•Must be able to remain in stationary position at least 50% of the time
•The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc
•Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine and computer printer
•The person in this position will need to communicate with insurance plans and patients that may have questions.
They must be able to accurately exchange information in these situations
Primary Population Served
Check appropriate box(s) below:
•Neonatal (birth - 28 days) •Patients with exceptional communication needs
•Infant (29 days - less than 1 year) •Patients with developmental delays
•Pediatric (1 - 12 years) •Patients at end of life
•Adolescent (13 - 17 years) •Patients under isolation precautions
•Adult (18 - 64 years) •Patients with cultural needs
•Geriatric (> 65 years) • All populations
•Bariatric Patients with weight related comorbidities •Non-patient care population
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.
Salary Range (based on Full Time): $55,187.74- 80,782.07