APPLICANTS MUST HAVE BEEN A LEGAL RESIDENTS OF WAYNE, MONROE, ONTARIO, SENECA OR CAYUGA COUNTIES FOR AT LEAST ONE MONTH IMMEDIATELY PRECEDING THIS POSTING.

In accordance with Section 23-4 (a) of the Civil Service Law, preference in appointment, may be given to residents in the jurisdiction where the vacancy exists. When preference in certification is given, an eligible must have been a resident of such municipality for at least one month prior to the date of certification and must be a resident of such municipality at the time of certification and appointment. Applicants must list a home address to be considered for preference in certification.

DISTINGUISHING FEATURES OF THE CLASS: The work involves responsibility for independently performing moderately difficult clerical work involved in medical billing, and includes responsibility for performing a variety of medical insurance and related financial record keeping duties. The work requires a thorough understanding of specific laws related to medical insurance billing, office rules, procedures and policies, and may be performed on an alpha/numeric keyboard. Employees in this position perform double-entry bookkeeping. The work is performed under general supervision of a higher level employee. Does related work as required.

TYPICAL WORK ACTIVITIES:

· Reviews remittances in order to collect payments;

· Changes format of electronic and paper claims as required by third party insurance payers;

· Receives electronic remittances from all insurance;

· Enters information regarding medical billing in a prescribed manner;

· Prepares reports based upon medical billing activities;

· Coordinates Medicaid, Medicare and private pay billing;

· Maintains financial records related to billing for Medicaid, Medicare, patient billing and third party insurance including HMO’s;

· Answers provider questions regarding medical billing procedures and/or problems;

· Answers family and/or residents’ questions regarding medical billing issues;

· Has direct contact with insurance carriers and employers;

· Electronically submits files to Medicaid, Medicare, and private insurance;

· Manually prepares and send insurance forms to various insurance companies;

· Verifies data entered by comparing with provider billings;

· Prepares county vouchers for payments for services provided;

· Identifying and coding general ledger accounts for bills rendered for services;

· Verifies insurance coverage with insurance company; and

· Obtains insurance authorization for services to be rendered;

· May submit voucher as required to receive payment from State aide and grants;

· May supervise the work of lower level staff members.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of the provisions of standard insurance policies and the applications thereof; thorough knowledge of modern methods used in maintaining medical insurance, financial records and reports and medical billing procedures; good knowledge of office terminology, procedures and equipment; good knowledge of business arithmetic and English; good knowledge of Medicaid/Medicare; ability to operate a personal computer and utilize common office software programs including work processing, spreadsheets and databases; Ability to plan and supervise the work of others; Ability to communicate effectively both orally and in writing; Ability to understand and follow oral and written instructions; ability to get along well with others; mental alertness; high degree of accuracy; tact and courtesy.

MINIMUM QUALIFICATIONS:

• Graduation from a regionally accredited or New York State registered four-year college in business administration, human services, Accounting or related field; Or
• Graduation from a regionally accredited or New York State registered two-year college with an Associate's Degree in business administration, human services, accounting or related field and two (2) years of full-time paid experience in medical billing; Or
• Graduation from high school or possession of a high school equivalency diploma and four (4) years of full paid experience in medical billing; Or
• An equivalent combination of training and experience as defined by the limits of (A) (B) and (C) above.

Job Type: Full-time

Pay: $20.27 per hour

Expected hours: 37.5 per week

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person