Under the guidance of the Director of Patient Financial Services and Access is responsible for the Revenue Cycle receivables management with a scope of responsibilities for the timely payer (insurances) processing of accounts and our revenue collections for services. To ensure the timely processing of point of service eligibility, the creation of registrations for prospective visits, the billing of claims, the correction of claims, the management of denials and follow-up to be completed timely and accurately. Manage Accounts Receivables affectively to reduce its average number of days need to review and collect payments. Initiate payer projects to generate revenue and all other duties as assigned.
The ability to work independently analyzing receivables date via excel pivot tables and initiate and manage payor reimbursement projects independently to the collection of all revenue to closure
Ensure adequate follow-up is performed to adjudicate claims, process of payments and checks are posted timely and accurately for all outpatient payers and reconciliation
Coordinate the flow of billing data through staff, follow-up and payments, contacting other departments to resolve problems and help speed flow of information.
Coordinate activity on accounts; respond to staff questions; maintain knowledge of status on billing operations and resolve backlogs, determine priorities.
Carries out annual performance appraisal of employees as needed.
Will assist cash postings and follow all procedures when there is an absence/additional help is needed in any one position
Researches offset/negative balance insurance remits as well as calling insurance carriers for missing or invalid check information.
Retrieves only,ne insurance remittance advices from carrier websites, printing, and cash posting to accounts receivables.
Works closely with assigned system representatives to ensure that claims are properly coded, demographics correct, as well as any insurance changes that are implemented.
Completes additional projects or tasks as assigned by the Director.
Consistently works with staff to prevent accumulations of accounts that error by the electronic billing system.
Responsible for maintaining all insurance websites and their authorities for staff.
Ensures that communications are appropriate and are done so while maintaining our service excellence culture.
Facilitates open communication within the department and with other departments.
Maintain yearly ETIN's and Medicare and Medicaid Credentialing for medical staff as needed.
The foregoing list of the job duties is not all inclusive and does not preclude the assignment or existence of other related responsibilities as regards to the operation of the department.
Requirements:
EDUCATION / EXPERIENCE: Bachelor's Degree / 2 or more years in a roll within a Hospital or Behavioral Health Patient Accounting environment
Good verbal/written English communication skills
Excellent computer proficiency in Microsoft Excel and interpersonal skills.
Requires knowledge of revenue cycle requirements and regulations.
Requires a high level of interpersonal, problem solving, and analytic skills.
Requires effective written and verbal communication skills in both individual and group settings.
Requires the ability to promote teamwork and develop team members.
Requires the ability to take initiative and meet objectives.
Pay: $66, 300
$66,300
Since 1888, Saint Joseph’s Medical Center has served Yonkers and the surrounding communities of lower Westchester and northern Bronx with patient-centered, quality-focused inpatient and outpatient care, including specialized programs such as orthopedics, cardiology, family medicine and geriatrics; advanced emergency treatment, state-of- the art diagnostic imaging and ambulatory surgery; inpatient and outpatient behavioral health services; and a network of primary care services serving Westchester, the Bronx and northern Manhattan.
Affiliated with Saint Joseph's Medical Center, Saint Joseph's Medical Practice, PC is a multi-specialty physician medical practice in New York, with offices in Yonkers, the Bronx, Riverdale and Manhattan. Our team includes experts in cardiology, internal medicine, family medicine, primary care, gynecology and gastroenterology at 9 convenient office locations.
St. Vincent’s Hospital Westchester offers inpatient and outpatient mental health and addiction treatment services at its campus in Harrison and at off-site locations in White Plains, Tuckahoe and Port Chester. As a division of Saint Joseph’s Medical Center, St. Vincent’s also provides mobile crisis services for Westchester County, manages residential services for more than 1,300 individuals in Westchester County and New York City and operates three opioid treatment centers in New York City.
