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Representative - Billing

We Are Hiring

Representative - Billing - Patient Accounting 001 - FT Days Monday through Friday 8:00AM to 4:30PM - St Mary's Hospital - Amsterdam, NY

Why Join Ascension?

St. Mary’s Healthcare, based in Amsterdam, New York, provides a full range of outpatient services while featuring an award-winning acute care hospital, three Urgent Care Centers, multiple primary and pediatric health centers, specialty care including Cancer Medicine, Gastroenterology, OB-GYN, ENT, Surgical and Urology, inpatient and outpatient mental health services and a 160-bed nursing home. The organization has earned outstanding national rankings for excellence in medicine and patient safety.

St. Mary's Healthcare is part of Ascension, a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need.  In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

As a Representative-Billing with St. Mary's Hospital, you will have the opportunity to determine and verify insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.

Responsibilities:

  • Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
  • Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
  • Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
  • Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.
  • Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers.
  • Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.
  • Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.
  • Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.

What You Will Need

Education & Work Experience:

  • High school diploma or GED required.
  • Experience in Insurance follow up and billing preferred but not required.

 

 

Equal Employment Opportunity

St. Mary’s Hospital is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status, sexual orientation or any other status protected under local, state or federal laws.
 
State and Federal laws prohibit discrimination on the basis of race, creed, color, religion, gender, national origin, age, disability, marital status or sexual orientation.
 
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

St. Mary's Healthcare participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify

Job ID: 355885
Category: Patient Services
Facility: NYAMS St Marys Hosp
Ministry: St. Mary's Healthcare, NY
Location: Amsterdam, NY

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