St. John's Episcopal Hospital
Who We Are:
St.
John's Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York.
Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.
Come Grow With Us!Type:
Full Time - TemporaryShift:
DaysHours:
8:
30AM - 5:
00PMPay:
$26.
35 - $27.
71 HourlyJob
Summary:
The Patient Accounts Specialist fulfills the functions of Patient Billing Accounts Pay/Rec Clerk and in addition performs higher level functions related to the revenue cycle process.
Assists with the coordination and testing of system updates prior to live implementation, coordinates and responds to internal and external audits requests relative to accounts receivable, processes claims through clearing house platform(s) to determine completeness of billing and correct missing charges, refiles cases in 3M coding system for APC / APG calculation as needed, and performs other receivables assigned duties.
Responsibilities:
Audit hospital charges to be paid by the insurance carrier and patients in the hospital's billing system as well as processing claims in the hospital's claims clearing house platform(s)Process co-insurance charges and claims electronically forwarded to insurance carriersComplete computer input documents to generate allowance expected payments and actual payments to individual patients' accountsMail statements to patients for remainder of charges not covered by the insurance carriersFollow up with telephone, correspondence and with in-person interviews, with both insurance companies and patients to gather required data for the ultimate payment of the hospital billResearch and process patient and insurance refunds, where applicablePost third party payor remittances, payments and adjustments to appropriate accountsReceive and batch remittances from multiple sources and reconciles daily batchesAddress all SPARCS issues related and assigned to Patient Accounts for correction actionServe as a staff resource for issues related to the process of re-filing cases in 3M coding system for APC/APG calculation and other patient accounts systems' processesRequirements:
High School diploma or EquivalencyKnowledge of state and federal hospital billing regulations 837 billing requirementsKnowledge of CPT, and ICD-10 terminology and codingKnowledge of OMNIPRO, EPACES and EMEVS for online eligibility determinationsAbility to navigate through insurance company websites to verify claim statusKnowledge of computer, basic accounting principles, Excel and WordAbout the Company:
St.
John's Episcopal Hospital.
Estimated Salary: $20 to $28 per hour based on qualifications.
St.
John's Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York.
Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.
Come Grow With Us!Type:
Full Time - TemporaryShift:
DaysHours:
8:
30AM - 5:
00PMPay:
$26.
35 - $27.
71 HourlyJob
Summary:
The Patient Accounts Specialist fulfills the functions of Patient Billing Accounts Pay/Rec Clerk and in addition performs higher level functions related to the revenue cycle process.
Assists with the coordination and testing of system updates prior to live implementation, coordinates and responds to internal and external audits requests relative to accounts receivable, processes claims through clearing house platform(s) to determine completeness of billing and correct missing charges, refiles cases in 3M coding system for APC / APG calculation as needed, and performs other receivables assigned duties.
Responsibilities:
Audit hospital charges to be paid by the insurance carrier and patients in the hospital's billing system as well as processing claims in the hospital's claims clearing house platform(s)Process co-insurance charges and claims electronically forwarded to insurance carriersComplete computer input documents to generate allowance expected payments and actual payments to individual patients' accountsMail statements to patients for remainder of charges not covered by the insurance carriersFollow up with telephone, correspondence and with in-person interviews, with both insurance companies and patients to gather required data for the ultimate payment of the hospital billResearch and process patient and insurance refunds, where applicablePost third party payor remittances, payments and adjustments to appropriate accountsReceive and batch remittances from multiple sources and reconciles daily batchesAddress all SPARCS issues related and assigned to Patient Accounts for correction actionServe as a staff resource for issues related to the process of re-filing cases in 3M coding system for APC/APG calculation and other patient accounts systems' processesRequirements:
High School diploma or EquivalencyKnowledge of state and federal hospital billing regulations 837 billing requirementsKnowledge of CPT, and ICD-10 terminology and codingKnowledge of OMNIPRO, EPACES and EMEVS for online eligibility determinationsAbility to navigate through insurance company websites to verify claim statusKnowledge of computer, basic accounting principles, Excel and WordAbout the Company:
St.
John's Episcopal Hospital.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
