Job Description

Job Title: Billing Specialist II
Job ID: 71863423
Status: Full-Time
Regular/Temporary: Regular
Hours: Monday thru Friday 9-5
Shift: Day Job
Facility: 'Great Lakes Physician Practice'
Department: GLPP NY Billing Fredonia
Location: , Fredonia NY

Description

As a Billing Specialist II, you will accurately prepare, submit and follow up on all patient claims to various third party payers and/or designated agencies. Analyzes accounts receivable reimbursements, monitors trends and utilizes in-depth problem solving techniques to resolve issues.

Occasional travel between Fredonia and Jamestown locations will be required

Responsibilities:
  • Required to do claims follow up and analysis, reviewing inquiries, correcting claims as appropriate and resubmission of claims for payment. 
  • Billing Specialist is expected to complete their work files through PCS and follow up on all outstanding claims which have not be processed or are in need of appeal.
  • Do initial billing through submission of claims to the appropriate third party payers, through electronic process or hard copy mailing, according to the established deadlines and requirements of the payer. 
  • When it is necessary, request system changes due to changing billing requirements or system problems working in conjunction with supervisor
  • Responsible for recording all action taken on the account in the notes field in the computer system. 
  • Responsible for maintaining the integrity of the billing file and all pertinent records and the accurate account adjustments with related documentation.
  • Demonstrates the ability to meet the needs of both the customer and co-workers in a caring, competent manner acting as an information resource to others. 
  • Coordinates the flow of communication regarding any third party payer updates and/or changes between other Billing Specialists, Team Leader, Supervisors, Director, Physician Practice Staff and other Departments. 
  • Accurately prioritizes information and refers it to appropriate personnel. 
  • Maintains confidentiality with respect to any and all information learned through performing this role.
  • Accepts responsibility for personal and professional growth. Attends department meetings (unless otherwise excused). 
  • Participates in RHMS and/or Hamot activities and inservices. 
  • Maintains documentation of attendance of annual training, mandatory education and age specific criteria. 
  • Arrives at workstation ready to work at scheduled time, i.e., start of shift, breaks, lunch, etc.

Qualifications

  • High-school Diploma or equivalent required 
  • Three years previous billing/accounts receivable experience in Healthcare facility or Physician office setting. 
  • One year of in-depth accounts receivable analysis 
  • Knowledge in medical terminology, ICD-9/10 and CPT coding. 
  • Operating knowledge of basic business office equipment. 
  • Demonstrated proficiency in working on computer system.
  • IDX knowledge preferred. 
  • Must have knowledge of use of Microsoft Excel and WordWork 
  • Requires interpersonal skills to effectively communicate with a wide range of people, exchange information on factual matters, understand and transmit instructions. 
  • Interactions require good customer service skills and basic common courtesy

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $13.27 to $19.77 / hour

Union Position: No

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