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Commercial Billing Specialist
Location:
Ithaca, NY
Description:
Department: Revenue CycleJob Title: Commercial Billing SpecialistReports To: Revenue Cycle Job Summary: As a Commercial Billing Specialist at Cayuga Medical Center, you are responsible for compliant billing and collection of commercial claims, including but not limited to, Blue Cross, Aetna, Cigna, United Health Care, NYS No-Fault and Worker's Compensation. Your attention to detail is critical in order to resolve edits, gather and secure all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for various commercial payors. This includes responding to resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. You must be highly methodical, focused, and make effective use of your time to achieve your daily performance goals. Successful Commercial Billing Specialists have strong computer skills, are comfortable with medical terminology, are organized and thrive in a highly structured environment. Members of the Revenue Cycle team work independently but are flexible and collaborate to ensure that the department's goals are met. Job Responsibilities: 3-5 years of billing and collections in a long-term healthcare environment. Must have thorough knowledge of commercial billing practices and reimbursement regulations. Perform accurate, compliant and timely billing to ensure prompt payment. Excellent organizational skills, attention to detail, and accountability. Able to handle multiple priorities; possess strong communication skills and work well in a high-pressure environment, Strong working knowledge of Excel, Word, Outlook, and billing/eligibility software solutions, such as Assurance. Completes all payer specific edits identified through the billing system. Resolves issues associated with incomplete claims including follow up of non-transmitted claims. Submit adjustment and voided claims through use of online systems as needed. Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records Job Requirements: Consistently meets quality standards set by Revenue Cycle. Meets departmental goals regarding quality and productivity. Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs. Meets federal, state and hospital requirements related to compliance issues. Attends and participates in department staff meetings and attends other meetings as assigned Other job-specific duties as assigned Education Requirements: High School Diploma/GED Preferred - Associates Degree or Certified Coder Experience: Three (3) to five (5) years' experience of healthcare billing experience. Experience using Microsoft Office suite including Word and Excel. A minimum of one (1) year minimum experience in data processing, hospital registration, insurance verification, insurance pre-certification / authorization with a healthcare provider or insurance company required. Physical Requirements: Lifting up to 20 pounds, standing or sitting for extended periods of time, as well as repetitive use of hands and fingers. Cayuga Health System Commitment to Diversity, Equity & Inclusion Cayuga Health System commits to treat all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes. Job Posted by ApplicantPro
Company:
Cayuga Medical Center
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Commercial Billing Specialist
Commercial Billing Specialist is a Accounting & Finance Billing Specialist Job at Cayuga Medical Center located in Ithaca NY. Find other listings like Commercial Billing Specialist by searching Oodle for Accounting & Finance Billing Specialist Jobs.
Commercial Billing Specialist is a Accounting & Finance Billing Specialist Job at Cayuga Medical Center located in Ithaca NY. Find other listings like Commercial Billing Specialist by searching Oodle for Accounting & Finance Billing Specialist Jobs.