Billing Associate

Billing Associate

At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.

We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place To Work!

Position Summary

The WPHPA Billing Associate is responsible for preauthorization of hematology and oncology infusion treatments and diagnostic orders. Associate will confirm patient insurance details, verify eligibility of insurance coverage, and obtain authorization. For uninsured and underinsured, Associate will help identify and enroll patients in copay assistance, and other financial assistance programs. Associate will document and track all communication attempts with insurance providers and health plans, follow up on all denials, arrange peer-to-peer and appeal reviews. The associate will ensure timely and accurate communication with healthcare staff and patients on status of orders.

Essential Functions and Responsibilities Includes the Following :

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
• Perform accurate and timely daily coding information regarding procedures performed and diagnosis for maximizing reimbursement.
• Register all patients and update any insurance / demographic changes. Data entry for all patient charges.
• Interact and maintain efficient and positive communications with physicians, physical therapist, nursing, front staff, patients, providers and outside facilities and individuals.
• Responsible for daily registration, daily data entry of all physicians and patients charges and insurance verification
• Obtain pre-certification for all treatment (including radiology studies).
• Work closely with patient accounts in regard to all billing issues and any audits.
• Review, follow-up and coordinate with patient accounts regarding any billing issues.
• Demonstrate knowledge of all current insurance requirements.
• Performs all other related duties as assigned.

Education & Experience Requirements

Core Competencies

Primary Population Served

All patient populations.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.

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