What are the responsibilities and job description for the Patient Acount Specialist position at Wyckoff Heights Medical Center?
Have an understanding of APGs,and clinic billings
Bills government accounts within twenty-four (24) hours of bill drop. Daily reviews billing
reports and makes necessary corrections in the electronic billing system as well as in Meditech
Works with Medical Records,Utilization Managerment, Patient Access, clinics, guarantor,
physician,etc to obtain and/or clarify required billing data that errors out in DDE and billing
system.
Establishes adequate follow-up dates so that accounts are worked timely to ensure prompt
payment on claims
Documents all billing and follow-up activites in the Meditech system in a clear and effective
manner.
Requests and sends any additional information and/or medical records needed to process
claims for payment.
Works correspondence with forty-eight (48) hours of receipts, taking whatever action may be
necessary to get claims paid
Ensures the Hospital is in compliance with all state and federal rules and regulations and reports
any suspected compliance issues to manager.
Works the Medicare's 72 hour rule report daily and Medicaid's APG reports to combine
accounts as required.
Processes outlier accounts when assigned.Idenity and process outliers, short stays and long
stay accounts.
Performs other duties as assigned.
Reviews Medicaid and Medicare worksheets and remittance advises to identify variances
between DRG and outstanding balance due.
This position requires a minimum formal education of High School Diploma or equivalent
MON - FRI 9AM-5PM
Rate $31.7492
Salary : $32