Offsite Billing Coordinator- Multispecialty, Scarsdale, New York, Full Time, Days

The Offsite Billing Coordinator is responsible for multiple components of the billing process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. Proficient in these processes to facilitate accurate and timely payment of claims and collection.

1. Verifies insurance and registration data for scheduled outpatient/inpatient encounters and scheduled surgeries if applicable; reviews encounter forms for accuracy.
2. Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures.
3. May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis.
4. Posts all payments in IDX using approved methodologies.
5. May perform specialty coding for services and medical office visits and review physician coding and provide updates to physicians and staff.
6. Works TES, BAR and eCommerce edits for the division, department and physicians.
7. Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters.
8. Works credit balance report to ensure adherence to government regulations/guidelines.
9. Identifies billing issues for resolution; may provide recommendations.
10. Meets with practice management or physicians on a scheduled basis to review Accounts Receivable and current billing concerns.
11. May be responsible to prepare and verify office hours schedules.
12. May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments.
13. May work Patient Keepr work queue for inpatient encounters if applicable.
14. Maintains working knowledge and currency in third party payor requirements.

• Associates Degree or high school diploma/GED plus 2 years of relevant experience
• 2 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding
• Licensing: None but CPC preferred