Wphpa 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 aGreat Place To Work! Position Summary The WPHPA Billing Associate is responsible to receive and register patients for all procedures in assigned practice/specialty. To provide all required insurance information to all patients. To be familiar with all components of the different insurance carriers. Be able to enter and confirm accuracy of charges. Knowledge of Workers Compensation claims submissions is a plus. Essential Functions and Responsibilities Includes the Following: Understands and adheres to the WPH Performance Standards, Policies and Behaviors. Verify all Workers Comp claim information. Submit prior authorization requests into the workers compensation portal Review workers compensation board decisions once received Document all information pertaining to workers compensation review and scan into EPIC Review and understand denial and whats needed for follow up to resubmit Answer workers compensation patient phone calls and mychart messages(high volume) Review of all independent medical evaluations for workers compensation cases 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 High school graduate or GED certificate required Minimum of one year of experience in a healthcare organization. Ability to schedule patients and collect all insurance information. Knowledge of hospital billing and reimbursement of insurance including precertification for authorization of treatment and radiology studies. Knowledge of billing, coding and clinic operating policies. Good verbal and written communication skills Demonstrated understanding of revenue cycle and the front-end contribution to the billing and collection efforts. Ability to work with a diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations. Proficiency in the use of Microsoft Office and other medical office software. Basic medical terminology. Core Competencies Ability to communicate effectively both verbally and written and work with others Ability to concentrate on fine details with constant interruptions Perform multiple duties in a high volume area Ability to deal professionally and efficiently with all levels of management and external constituencies Self-starter, self-motivated and ability to work without supervision Flexible, organized and able to set priorities Demonstrates team work and adaptability Maintains composure under stress Physical/Mental Demands/Requirements Work Environment Ability to perform computer work for extensive periods of time Occasionally move and/or transport of 15 to 20 pounds Requires movement about the department frequently throughout the day Ability to remain in stationary position for extended periods of time Ability to respond to frequent phone calls May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospitals SDS (Safety Data Sheet) data base and may be accessed through the hospitals Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc. 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.

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 to receive and register patients for all procedures in assigned practice/specialty. To provide all required insurance information to all patients. To be familiar with all components of the different insurance carriers. Be able to enter and confirm accuracy of charges. Knowledge of Workers Compensation claims submissions is a plus.

Essential Functions and Responsibilities Includes the Following:

• Understands and adheres to the WPH Performance Standards, Policies and Behaviors.

• Verify all Workers Comp claim information.

• Submit prior authorization requests into the workers compensation portal

• Review workers compensation board decisions once received

• Document all information pertaining to workers compensation review and scan into EPIC

• Review and understand denial and what's needed for follow up to resubmit

• Answer workers compensation patient phone calls and mychart messages(high volume)

• Review of all independent medical evaluations for workers compensation cases

• 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

• High school graduate or GED certificate required Minimum of one year of experience in a healthcare organization.

• Ability to schedule patients and collect all insurance information.

• Knowledge of hospital billing and reimbursement of insurance including precertification for authorization of treatment and radiology studies.

• Knowledge of billing, coding and clinic operating policies.

• Good verbal and written communication skills

• Demonstrated understanding of revenue cycle and the front-end contribution to the billing and collection efforts.

• Ability to work with a diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.

• Proficiency in the use of Microsoft Office and other medical office software.

• Basic medical terminology.

Core Competencies

• Ability to communicate effectively both verbally and written and work with others

• Ability to concentrate on fine details with constant interruptions

• Perform multiple duties in a high volume area

• Ability to deal professionally and efficiently with all levels of management and external constituencies

• Self-starter, self-motivated and ability to work without supervision

• Flexible, organized and able to set priorities

• Demonstrates team work and adaptability

• Maintains composure under stress Physical/Mental Demands/Requirements & Work Environment

• Ability to perform computer work for extensive periods of time

• Occasionally move and/or transport of 15 to 20 pounds

• Requires movement about the department frequently throughout the day

• Ability to remain in stationary position for extended periods of time

• Ability to respond to frequent phone calls

• May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) data base and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc.

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.