Patient Acctg Govt. Specialist

Responsibilities

• Have an understanding of APGs and clinic billings.
• Bills government accounts within twenty-four (24) hours of bill drop and reviews billing reports daily, making necessary corrections in the electronic billing system and Meditech.
• Works with Medical Records, Utilization Management, Patient Access, clinics, guarantor, physician, etc., to obtain and/or clarify required billing data that errors out in DDE and the billing system.
• Establishes adequate follow-up dates so that accounts are worked timely to ensure prompt payment on claims.
• Documents all billing and follow-up activities in the Meditech system in a clear and effective manner.
• Requests and sends any additional information and/or medical records needed to process claims for payment.
• Works correspondence with forty-eight (48) hours of receipts, taking whatever action may be necessary to get claims paid.
• Ensures the hospital is in compliance with all state and federal rules and regulations and reports any suspected compliance issues to manager.
• Works the Medicare 72-hour rule report daily and Medicaid's APG reports to combine accounts as required.
• Processes outlier accounts when assigned, identifying and processing outliers, short stays, and long stay accounts.
• Performs other duties as assigned.
• Reviews Medicaid and Medicare worksheets and remittance advises to identify variances between DRG and outstanding balance due.

High School Diploma or equivalent.

Wyckoff Heights Medical Center | Finance / Payroll / WIC, 316A Himrod St, Brooklyn, NY 11237, USA

Schedule:

Monday–Friday 9:00 a.m.–5:00 p.m. Rate: $31.7492.

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.