NewYork-Presbyterian Hospital Hiring for Charge Entry Representative at Manhattan, NY Full Time

Location

New York, New York

Shift:

Day (United States of America)

Description:

Job Description

Department:

Last Reviewed: 2/19/2021

Position Summary

The Charge Entry Represntativewill be responsible for ensuring the timely submission of charges to the appropriate insurance carrier. This team member will also manage (1) the reconciliation of files received with submissions, (2) follow up on unpaid or denied charges with insurance carriers, (3) communication with providers when necessary, (4) maintaining frequent contact with other CBO Departments, representatives from insurance companies, Practice Office personnel, and Physicians for information/communication related to Chare Entry functions.

Essential Job Duties

Receive and process information required for submitting a third party bill. Ensure that bills are complete and comprehensive, e.g. correct form for ID numbers, validity of CPT-4, ICD-10, and HCPCS codes.

Obtain information necessary to ensure timely charge entry via multiple medias, i.e. spreadsheets, emails, procedural s, or shared files.

For electronic claims: maintain up-to-date knowledge with respect to electronic claim submission software and the various payers edits. Review and monitor all billing exception s for correction/re-submission. Ensure that all claims are submitted in the accepted timeframe.

Obtain s from third party systems for charge entry. These s may need to be manipulated and sent to another third party vendor or coding team prior to charge entry.

Receives and answers inquiries from patients and third party payers regarding charges and /or billing discrepancies.

Communicate as necessary with providers to address billing discrepancies.

Prepares daily billing activity s.

Communicates effectively with the Senior/Supervisor.

Monitor charge submission volume to ensure expected charge files are being received regularly.

Reconcile charges entered with s received.

Performs other special projects and job related duties as assigned.

Qualifications Required (R) Preferred (P)

Education

High School Diploma or Equivalent

R

Associate/Bachelor Degree in related field

P

Licensure/Certifications

Work Experience

2+ years of experience in medical billing,

P

Working knowledge of full scope of full revenue cycle process; Patient registration, billing, payment posting, denial tracking/resolution, and Accounts Receivable

P

Working knowledge and experience with health care requirements, regulations, and standards

P

Computer and systems competency in the following areas: working knowledge of health systems and interfaces, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Power Point, and electronic health records

R

Working knowledge of HIPAA Standards and Policies

R

Ability to prioritize conflicting needs; handle matters expeditiously, proactively, and follow through on projects to successful completion, often with deadline pressures

R

PC/Data entry keyboarding skills

R

Ability to prepare business letters, proposals, summaries, and s; using prescribed format, and conforming to all rules of punctuation, grammar, diction and style; using all parts of speech

P

Ability to conduct training, communicate at panel discussions, and to make presentations with poise and control

P

Strong oral and written communication skills along with analytical skills and a high degree of accuracy

R

Physical/Environmental Conditions Yes (Y) No (N)

Physical/Hazardous/Work Environment – The work environment and physical demands described here are representative of those required by an employee to perform essential functions of the job with or without reasonable accommodation.

Ability to work in surroundings with degree of dust, noise, odors, etc. without undue discomfort.

N

Ability to hear, talk, walk, stand, bend and stretch.

N

Ability to read, write and interpret documents.

N

Ability to sit for long periods of time at desk to perform job functions.

N

Ability to communicate effectively with clients and co-workers.

Y

May be exposed to mechanical/electrical/radiant/explosive/burn and chemical hazards.

Y

May be required to handle, dispose of and/or identify hazardous waste and hazardous materials.

Y

May be required to operate and clean equipment.

Y

May be required to work both indoor/outdoor under extreme temperatures.

Y

May be required to handle reasonably heavy weights across distances.

Y

May be required to operate heavy vehicles.

Y

Must be trained in and knowledgeable of all Hospital policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work.

Y

Other:

OSHA Yes (Y) No (N)

Duties performed routinely require exposure to blood, body fluid and tissue.

N

Normal routine involves no exposure to blood, body fluid or tissue, but potential for exposure.

N

Normal routine involves no exposure to blood, body fluid or tissue. Incumbents are not called upon to perform or assist in emergency care or first aid.

N

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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• 2021 “Employees’ Choice Awards: Best Places to Work” – Glassdoor
• 2021 ” Best Workplaces in Health Care & Biopharma” – Fortune
• 2020 “America’s Best Employers in New York State” – Forbes
• 2020 “Working Mother 100 Best Companies” – Working Mother
• 2020 “Best Companies for Multicultural Women” – Working Mother
• 2020 “Best Workplace for Men in Nursing” – American Association for Men in Nursing
• Discover why at: nyp.org/careers

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

$26.32-$37.61/Hourly

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.