Duties include but are not limited to:

• Perform in-depth interviews with self pay and/or insured patients, families, relatives and friends in an office setting or the hospital wards, during field investigations, and/or by telephone, email and mail to determine patients' and/or legally responsible relatives' ability to pay for service rendered.
• Responsible for screening uninsured or underinsured patients to identify insurance coverage or enrollment eligibility from WQ 9195, 9284.
• When necessary, obtain signatures for Medicaid application.
• Collect vital documents to complete and submit Medicaid application.
• Review and abstract Medical charts and Epic Media Manager program to obtain pertinent information for insurance purposes.
• Review patient account records to ensure patients are billed, verify and correct patient demographics.
• Utilize insurance websites/portals to verify insurance coverage information and/or other pertinent information that would aide in verification of coverage.
• Complete and submit Medicaid applications, charity care programs for eligible patients.
• Assist patients that do not qualify for Medicaid enrollment with charity care programs.
• Ensure all documentation is complete and submitted for program applications.
• Complete thorough HAR notes.
• Update and enter notes on all appropriate trackers.
• Perform routine follow-up on outstanding self-pay balances in WQ 9197, 9294.
• Acts as liaison with social services and client.
• Consult senior or supervisor in a timely manner.
• Compliance with all departmental, corporate, hospital regulations, policies and procedures and conformity to established time and leave requirements.

• Understand Time and Leave policy
• Adhere to Dress code
• Wear ID badge
• Appropriate professional conduct at all times towards patients, families, visitors, and co-workers.
• Attend all necessary training sessions to effectively perform the day-to-day functions of position.

Education Requirement:

• Baccalaureate Degree from an accredited college or university OR High School Diploma/educational equivalency approved by the State Department of Education or a recognized accrediting organization.
• College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience.

Qualifications/Requirements:

• Four (4) years of full-time experience in interviewing, investigation or related field such as credit and collection follow-up or bookkeeping
• NYSOH CAC, Bluemark & Revenue Cycle training experience is also required.

Knowledge, Skills, Abilities:

• Complete both paper and electronic claims in a timely manner.
• Effectively use computer systems to document patient information clearly and completely in the system.
• Interact with other departments to complete billing on accounts.
• Process rejections, denials, and other correspondence in a timely manner.
• Process pre authorizations, documenting responses in the system and following up as needed.
• Audit patient accounts for accuracy.
• Apply adjustments as needed.
• Provide billing costumer service and ensure that conversations are documented accurately.
• Processing statements and entering information into the database and reviewing past due bills and following up on past due accounts.
• Generate Patient Balance Aging report and Insurance Aging report and following with patients and insurances accordingly.
• Arrange payment schedules with patients.
• Refer accounts requiring escalation to supervisor in a timely manner.
• Attend all necessary training sessions to effectively perform the day to day functions of the position.
• Perform all other duties as assigned by the manager or supervisor.

• Medical Insurance
• Vision & Dental insurance
• Life Insurance
• 401K
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options