We Are Hiring
Rep-Third Party Payor
Patient Accounting 001
Full-Time, Days ( 8AM-4:30PM, Monday
Friday) - SVMC Manjoney BldgPFS - Bridgeport, CT
Why Join Ascension?
St. Vincent's Health Services, part of Ascension, operates St. Vincent's Medical Center in Bridgeport, CT, and a number of other sites of care. Founded by the Daughters of Charity in 1903, St. Vincent's is a mission-driven organization committed to exceptional healthcare for all with special consideration for the poor and underserved.
What You Will Do
As an Associate with St. Vincent's Health Services-, you will have the opportunity to
Researches, analyzes and reconciles patient account receivables, refunds, claims processing, reimbursement practices and/or revenue cycle management.
Processes claims including claims generation, data entry, edits and follow-up to ensure proper billing practices.
Maintains and applies knowledge of current regulatory and departmental requirements.
Evaluates accounts and prepares adjustments for debit/credit and corrects discrepancies as necessary.
Assists with orienting, training and mentoring team members. Supports other staff members as needed.
Resolves issues related to claim components, such as erroneous or late charges, invalid coding and invalid insurance information.
Follows through on aged unpaid accounts in order to facilitate payment. Takes appropriate action to resolve issues preventing or delaying payment.
Consults with team leader and/or management to resolve problematic claims and accounts as well as supports other staff members as needed
Reviews payment denials and discrepancies identified through EOB, Remittance Advices or Payer correspondence and take appropriate action to correct these accounts.
Attends meetings with payer representatives and/or vendors to address outstanding issues and learn about new regulations and guidelines.
Contacts the assigned payer representatives to determine when payment will be made and if any other information is required to adjudicate the claim.
Supports manager and department with special projects and other related tasks as assigned including supporting documentation to substantiate internal and external audits.
Other Duties as assigned
What You Will Need
Education and Work Experience:
HS or Equivalent. Associate's Degree Preferred
Minimum 1-2 years experience in medical billing and/or collections. Expereince in healthcare environment preferred. Medical Coding billing a plus. Proficiency with Microsoft required.
To comply with federal regulations of the Immigration Reform and Control Act (IRCA), all employees are required to complete an Employment Eligibility Verification form (I-9). This law applies to all hires including volunteers and students.
St. Vincent's Health Services participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E-Verify (link to E-verify site)