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Collections Billing Associate
Collections Billing AssociateKPH Healthcare Services • Rochester, NY, US
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Collections Billing Associate

Collections Billing Associate

KPH Healthcare Services • Rochester, NY, US
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  • [job_card.full_time]
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Administration Billing Associate

Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances

Job Summary : The following are the duties performed by employees in this classification.

Responsibilities

Job Duties :

  • Face-sheet and census entry to ensure accurate billing.
  • Verifying primary and secondary insurance coverage on residents.
  • Provide customer service and problem resolution to facilities and residents.
  • Account reconciliation and account refund requests
  • Complex account reconciliation
  • Account adjustments, bad debt processing
  • Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
  • Track and re-bill pending Medicaid accounts
  • Re-bill claims as needed
  • Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.
  • Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
  • Recognize and rectify any errors made within an account
  • Set up Lawson accounts for facility and private pay
  • Month-end closing process
  • Re-bill claims to improve reimbursement from NETRX reporting
  • Assist in special projects as required
  • Works with minimal supervision
  • May assist in orienting and training new employees
  • Responsible for completing all mandatory and regulatory training programs
  • Perform other duties as assigned

Qualifications

Attendance Requirements :

  • Must be available, and on-time for scheduled work shifts
  • Educational Requirements :

  • Required : High School Diploma or GED
  • Preferred : Associates Degree or Higher in Accounting or related field
  • Experience :

  • Preferred : Experience in Accounts Receivable Department or Collections preferred, but not required
  • Required (Vermont Employees) :

  • Registered with the State of Vermont as a Pharmacy Technician
  • Job Skill Requirements :

  • Assertive interpersonal communication skills
  • Strong understanding of computer technology
  • Behavioral Traits Required :

  • Cooperation : Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with
  • Initiative : Must work within supervision guidelines and assume additional responsibilities
  • Flexibility : Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work
  • Adaptability : Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences
  • Involvement : Must enjoy the demands of the job and work with interest and enthusiasm
  • Customer Service : Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
  • Safety : Must take care of equipment and employ good safety habits
  • Leadership : Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams
  • Compensation : $18.00-22.00 an hour

    The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

    KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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