Revenue Cycle Specialist/ Medical Biller
Upstate Cerebral Palsy
 Utica, NY

Requisition Number: REVEN06385

Activities may include but are not limited to the following:

· Import electronic charges, manually key charges when necessary and monitor charges for coding accuracy and completion.

· Submit claims, invoices and client statements for services provided.

· Post electronic and manual payments within appropriate billing software systems.

· Review and take corrective action on rejections, denials and aged receivables including but not limited to: utilizing payor websites, calling payors, sending appeals and contacting provider representatives.

· Identify payment error trends and/or systemic issues and report to Revenue Cycle management

· Interact with program and/or clinical staff on issues regarding program attendance, demographic and/or coding discrepancies and eligibility issues.

· Initiate claim write off approval forms when a service is deemed uncollectable.

· Generate refunds when necessary

· Respond to incoming correspondence as needed.

· Prepare checks for daily deposit log as needed.

· Establish a work environment that creates positive communication between supervisors and employees and assimilates new employees to the Agency’s culture, values and mission.

· Provide insight and assist in team decision-making regarding billing and accounts receivable procedures and practices.

· Ensure compliance with all governing agencies, payor requirements, agency regulations and operating standards.

· Attend trainings on issues relevant to billing software, claim submission, reporting, etc.

· Interact with consumers, patients and their family members on account balances and payments.

· Backup to other functions throughout the Revenue Cycle Department as deemed necessary.

QUALIFICATIONS/EDUCATION/EXPERIENCE

· Associates Degree or 2 years of billing and/or accounts receivable experience preferred.

· Intermediate Computer Skills (Windows, Outlook, Adobe Acrobat, Word, Excel).

· Must possess the ability to make independent decisions when circumstances are warranted.

· This position does not have regular and substantial unsupervised or unrestricted physical contact with individuals receiving services and not required by law to be fingerprinted for a criminal history record check under OPWDD (Office for People with Developmental Disabilities) or OMH (Office of Mental Health).

· Individual must be HIPPA compliant, as they may be dealing with individual accounts, as well as employees on a daily basis.

WORK ENVIRONMENT/HAZARDS

· Job related tasks do not involve exposure or potential exposure to blood, body fluids, or tissue and Category I tasks are not a condition of employment. May have exposure to unpredictable individuals and situations when working at Upstate Cerebral Palsy sites.

· OSHA Exposure Category III.

PHYSICAL DEMANDS

· Must have fluency in the English language. While performing the duties of this job, the employee is regularly required to talk or hear.

· The employee frequently is required to stand, walk and sit. Must be able remain in a stationary position for extended periods of time.

· Constantly operates a computer and other office productivity machinery, such as a copy machine, scanner, computer printer, etc.

· The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising work-flow and efficiency.

WORK CONTACT GROUP

All staff, individuals at sites, visitors, family members, vendors, various regulatory and professional agencies.

SUPERVISED BY: Revenue Cycle Manager

Support