Medical Billing Jobs in New York City

Hospital for Special Surgery

Medical Biller

Full Job Description

Overview:
Now more than ever, our guiding principles are helping us in our search for exceptional talent – candidates who align with our unique workplace culture and who want to maximize
the abundant opportunities for growth and success.
If this describes you then let’s talk!
HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
GENERAL SUMMARY OF DUTIES:
Provide various support services within the billing department. Charge Entry/Data Entry performed in accordance with industry standards. Maintain complete, timely and accurate documentation of all approvals and denials and analyze EOB’s. Address the denied claims and follow up with insurance carriers regarding unpaid claims.
 
PRIMARY FUNCTIONS:
  • Performs daily data entry of practice charges timely and accurately.
  • Verifies the patient demographic information and determines the appropriate insurance carrier to bill based on the information received.
  • Corrects registration errors on claims and complete registration process when necessary.
  • Enters charges for all visits, reviewing the visit documentation and the encounter to ensure all charges are captured.
  • Corrects hold bill edits and charge edits to ensure accurate and complete patient account information.
  • Follows up on and locates documentation and charges not checked off as being completed.
  • Conducts investigation of questioned charges. Make corrections or charge-backs as needed.
  • Posts payments and adjustments; ensures all payments and adjustments are balanced on a daily basis.
  • Electronic Remittance Advice posting.
  • Audits Electronic Remittance Summary reports.
  • Reviews Explanation of Benefits to assure proper payment and adjustment posting.
  • Resolves any un-postable deposits; enters and processes/reviews refunds.
  • A primary responsibility is to collect, input, and audit departmental charges and ensure timely and accurate patient billing for products and services.
  • Reviews and processes correspondence from patients and insurance carriers.
  • Insurance Follow-up with primary, secondary, and tertiary claims.
  • Denial Management to include payer denials and denial solutions.
  • Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports.
  • Performs other related duties as required.
SUPERVISION RECIEVED:
  • Reports to Billing Supervisor, Billing Manager, and/or Billing Assistant Director.
REQUIRED KNOWLEDGE, CERTIFICATION / LICENSURE:
  • Computer skills and knowledge of relevant software (Microsoft Office and Excel).
  • Knowledge of CPT, HCPCS codes, and Modifiers.
  • Knowledge of medical terminology.
  • Knowledge of insurance terminology, capitation, and fee for service billing.
  • Knowledge of various insurance company requirements for filing insurance claims.
  • Epic EMR billing system is a plus.
  • Knowledge of medical coding is a plus.
QUALIFICATIONS; REQUIRED EDUCATION AND EXPERIENCE:
  • Education: High School Diploma or equivalent, with some college preferred.
  • Experience: Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.
TYPICAL PHYSICAL DEMANDS:
Requires ability to work independently.
Involves standing, sitting and walking.
Requires normal vision and hearing.
Normal office environment.

Other Requirements: TYPICAL PHYSICAL DEMANDS: Requires ability to work independently. Involves standing, sitting and walking. Requires normal vision and hearing. Normal office environment.

To apply for this job please visit jobs-hss.icims.com.