How you move is why we're here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Emp Status Regular Full time
Work Shift Compensation Range The base pay scale for this position is $34.54 - $34.54. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.
What you will be doing JOB DESCRIPTION Accounts Receivable Representative Customer Service Full-Time GENERAL SUMMARY OF DUTIES: Accounts Receivable representative resolves customer issues/problems in a timely and effective manner. Handles high volume of incoming calls; works closely with numerous hospital departments, MD offices and outside agencies to coordinate customer satisfaction. A/R reps makes outgoing collection calls; prepares patient refunds; accepts credit card payments, and establishes payment plans. Knowledge of medical and insurance terminology is preferred.
PRIMARY FUNCTIONS:- Reviews and processes correspondence from patients and insurance carriers.
- Insurance Follow-up with primary, secondary, and tertiary claims.
- Denial Management to include payer denials and denial solutions.
- Submitting appeals to carriers for reasons such as medical necessity and bundling
- Credit Balance Management to include reviewing and resolving payment application errors.
- Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports.
- Annotates adjustments/updates to patient accounts.
- Performs other related duties as required.
EDUCATION REQUIRED REQUIRED KNOWLEDGE, CERTIFICATION / LICENSURE: - Computer skills and knowledge of relevant software (Microsoft Office and Excel).
- Knowledge of medical coding is a plus.
QUALIFICATIONS; REQUIRED EDUCATION AND EXPERIENCE: - Education: High School Diploma or equivalent, with some college preferred.
- Experience: Minimum of three years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.
TYPICAL PHYSICAL DEMANDS: - Requires ability to work independently.
- Involves standing, sitting and walking.
- Requires normal vision and hearing.
- Normal office environment.
Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.