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A/R Biller - Full Time - Days

Company

Mohawk Valley Health System

Location

UTICA, NY

Type

Full-time

A/R Biller - Full Time - Days




Department: ACCTS RECEIVABLE & COLLECTION



Job Summary

The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus.


Core Job Responsibilities


+ Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims.

+ Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledg...

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