Medical Billing Representative

HOW WE CARE FOR YOU

At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

Join the Massena Hospital (MH) team and be part of our mission to provide top-notch healthcare to our community! Massena Hospital is a vital part of our community, offering exceptional healthcare services in a welcoming and compassionate environment. We are an acute care facility with 25 beds, providing a wide range of medical, surgical, and pediatric care.

STATUS: Full-time

LOCATION: SLH - Regional Administrative Office

DEPARTMENT: Medical Billing

SCHEDULE: Days; 8am - 4pm

ATTRIBUTES

Preferred: Bachelor's degree in related field

Preferred: 3 years healthcare billing experience

Preferred: AHIMA/AAPC Certified

RESPONSIBILITIES

Using hospital computer system, ascertains status of patients' accounts. Reviews account information to determine completeness of data; e.g. final diagnosis, etc.

Prepares and submits in a timely manner claims. Submission is made in compliance with DRG regulations and/or contractual terms.

Processes follow-up billing as required.

Utilizes payer on-line sites an/or teleprocessing units to verify eligibility, benefits, and pre-certification requirements. Documents accounts with this information and communicates information to Patient Family Services department as necessary.

Prepares daily loss and gain records for third party accounts, and transactions for DRG adjustments, DRG discounts, or contractual adjustments.

Accurately works payer remittances.

Receives calls regarding status of patient accounts; answers routine questions for patients and appropriate others, such as method of payment, explanation of benefits and charges, etc. Refers unusual questions or situations to supervisor.

Submits adjustments to reflect correct charges and reimbursable amounts.

Contacts patient, responsible party or carriers to obtain missing information, signatures, release forms, etc. or to provide appropriate forms, e.g. to complete billing cycle. Updates system with this information.

Completes data processing source document with required information and submits to appropriate insurance carrier.

May type letters, reports, lists; files posts, and sorts.

PHYSICAL REQUIREMENTSS - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

UNION:CSEA - Civil Service Employees Association (MH)

Note: Not all per diem roles are union eligible

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:$19.79 - $26.49

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer.

Minority/Female/Disability/Veterans by a prospective employee and/or employee’s Physician or delegate will be considered for accommodations.

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