Auditor (Accounts Receivable- Medical Billing)

Cognizant Technology Solutions Melville , NY 11747

Posted 1 week ago

Cognizant Technology Solutions is seeking a full-time Medical Collector candidate in Melville, NY. The Medical Collector is primarily responsible for initiating the collection process for surgery and injection claims. This position is also responsible for identifying and correcting collection difficulties, ensuring and maintaining an acceptable cash flow, and maintaining accurate entry and collection information by performing the following duties.

This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Other duties will be assigned.

POSITION REQUIREMENTS

  • 1+ year of experience with Accounts Receivable (AR, Rejections, and Denials) experience is preferred

  • A good understanding of the medical billing cycle is required

  • Must have direct experience with insurance billing, processing claims, follow-up, payment posting

  • Comprehensive knowledge of insurance plans, member eligibility, and medical billing

  • Strong background in out of network claims processing and reimbursement

  • Understanding of CPT, ICD-10 and HCFA terminologies

  • Excellent interpersonal and customer service skills

  • Strong problem solving and research skills

  • Excellent math, verbal and communication skills

  • Computer proficiency (including Microsoft Office)

Benefits:

Our team members enjoy competitive pay and benefits (Medical, Life, Dental, Vision, 401(k), Flexible Spending Account, Short/Long Term Disability, paid vacation, PTO and holiday pay).

  • Must be full-time to participate in the benefit plans. In addition, we offer an environment that encourages career advancement and personal growth. We are seeking top talent to join our company. Come grow with us!

IND123


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Accounts Supervisor

Good Shepherd Hospice

Posted 1 week ago

VIEW JOBS 4/14/2019 12:00:00 AM 2019-07-13T00:00 Patient Accounts Supervisor Facility: CHS Services Inc Location: Melville, NY Department: Hospital Revenue Realization Category: Administrative / Business Support Schedule: Full Time Shift: Day shift ReqNum: 6020188 Catholic Health Services of Long Island (CHS) is an integrated health care delivery system with some of the region's finest health and human services agencies. CHS includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CHS serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity. Under the direction of the Manager of the Revenue Realization Center, the supervisor provides assistance with overseeing, coordinating, and managing the daily operations related to the billing and collection of third party and patient accounts. Compiles and analyzes statistical data to measure and explain staff performance, accounts receivables, and progress towards financial targets. Identifies trends and recommends process improvements to enhance workflows, expand staff training and skills, and advance productivity, and meet department goals. Provides technical guidance and assistance to the RRC staff on complex billing, payment, and/ or follow up activities. Responsibilities: * Coordinates the daily activities of the A/R operation ensuring that aging accounts are reviewed and resolved, collector work files are completed on a daily basis and appropriate actions are taken by support staff to ensure timely and correct claim payments. * Investigates and resolves in a timely manner all credits and unapplied cash balances. * Reviews, documents, and communicates all processes related to insurance and patient billing, follow up, credits denials, and appeals. * Monitors staff adherence to department processes and addresses issues through training and counseling. * Ensures accounts are billed and followed accurately, timely, and in a compliant manner * Resolves routine questions and problems posed by support staff, referring more complex issues to the Manager Assist in updating policies and procedures as necessary. * Develops and implements processes, procedures and controls to identify and address discrepancies associated with third party payments received. * Compiles and organizes statistical data related to staff productivity and quality weekly. * Identifies and communicates both positive and negative trends to the Manager and participates in performance discussions as requested by the Manager Assist with developing and conducting training for respective applications and staff. * Maintain training materials, job aides, competencies, and training records for all staff to manage individual performance * Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payers. * Shares knowledge with staff through verbal and prepared written communication. * Ensures CHS managed care contracts terms and conditions are adhered to by support staff and contracted parties. * Actively leads and participates in payer meetings to communicate and resolve billing and reimbursement issues. * Assists Manager in preparing materials in advance Monitors the performance of outside agencies including reconciling inventories and invoices. * Troubleshoots and acts as a point of escalation for issues arising internally and externally as a result of a vendor partnership * Recruits and trains new personnel. * Assists Manager with evaluations and counseling when needed * Prepare reports as requested Participates in special projects as requested by the Manager * Keeps the Director informed as to the status of the department. Requirements: * High School diploma or equivalent required. Bachelors Degree preferred. * Must be able to interpret third party coverage and institution's charges (rates) to patient. * Must possess an in-depth knowledge of third party governmental billing regulations and statutes/laws governing the management of human resources and strong employee relations skills * Must be able to effectively supervise and coordinate the billing, follow-up, customer service, and regulatory compliance functions of the Hospital RRC * Must be able to perform a variety of duties, ranging from direct involvement in various procedures to coordination of activities of many subordinates. * Must have excellent computer, time management, organizational, data processing, and analytical skills with proficiency in Excel and Microsoft Office Suite as well as A/R systems and associated applications required * Must have highly developed analytical and problem-solving skills. * Must possess high ability to organize, develop, and write user manuals and other required documents * Certification through the Healthcare Financial Management Association preferred (e.g., CHFP, CRCR) * Three to five years of health care Accounts Receivable experience of which one to two years must have been devoted to hospital follow-up or billing responsibilities At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future. Good Shepherd Hospice Melville NY

Auditor (Accounts Receivable- Medical Billing)

Cognizant Technology Solutions