Clerical Associate - Level IV- Biller

NYC Health + HospitalsGotham Health is one of the largest Federally Qualified Health Center (FQHC) in the country, providing coordinated world-class primary and specialty care with dignity and respect for all New Yorkers, without exception. At Gotham Health, we practice a person-centered caring culture that values delivering compassionate, quality healthcare in partnership with our patients, community organizations, and staff. Gotham Health is focused on high-quality, affordable care to everyone regardless of ability to pay or immigration status. Gotham Health serves the community through a two-pronged approach: providing treatment to those who need it while at the same time emphasizing prevention. We strive to deliver services in a way that maximizes each patient's opportunity to achieve successful health outcomes, we believe in every person's right to participate in their care plans, we facilitate partnerships with other community resources to meet the needs of our patients beyond healthcare, and we celebrate and recognize the compassionate care of our committed staff. Join our team if you want to be part of our Gotham Health Family, a person-centered, fully integrated, and innovative ambulatory care network that enables all New Yorkers to live their healthiest lives.Job DescriptionPURPOSE OF POSITION:The Clerical Associate IV for the Patient Accounts Finance unit performs (routine to moderate difficult) systematized routine billing and collection functions. This class of position performs clerical related office tasks involving manual and automated office systems and programs in addition to patient accounting systems under minimal supervision.SUMMARY OF DUTIES AND RESPONSIBILITIES:Performs all functions related to billing and collection activities by processing, posting, verifying and maintaining patient's billing records for professional billing dental and hospital billing.Resolves difficult work flow associated with the manual and automated systems, often in non-standard situations by adjusting work procedures and methods.Responsible to ensure timely billing process, verify insurance eligibility andor authorizations on accounts assigned where applicable. Reviews various carrier Explanation of Benefits using established policy and procedures to re-send or appeal claim paymentsdenials.Responsible for Cash posting. Responsible for all Dental, Professional Billing, Hospital Billing, and Registration Work ques related to BillingReviews and verifies accuracy of recorded data within billing systems, as neededMake recommendations for improvement in up front process to avoid denials of claims.Responsible for keeping in contact with the responsible parties involved as to payments due and the status of their accounts.Analyze and fix front end edits and back end errors and bring accounts to a resolutionComplete WQs assignments to ensure maximum revenue collectionUnder the direction of the Coordinating Manager, write off accounts when directed.Follow up on all outstanding accounts with insurance companies.Reports all billing inconsistencies to Supervisor immediately for proper direction for handling.Crosstrain between billing team to ensure adequate coverage across the department. Attend training programs offered by HHC for continuous job performance efficiencyAnswer phone call from internal & external inquiry regarding patient's account.Travel to all Gotham sites when necessary.Work on special projects assigned by managers when needed.Minimum Qualifications1. A high school diploma or its educational equivalent; and2. Six (6) months of full-time satisfactory clerical experience andor experience interacting with the public, such as processing sales; taking, processing, and delivering orders; obtaining and dispensing information; listening to and resolving customers concerns, problems, and complaints; andor performing related customer service activities.Department PreferencesQUALIFICATIONS FOR THE JOB:CERTIFICATION(S)LICENSE(S):General understanding of patient billing procedures, specifically Outpatient Billing and Collection methodsExperience in handling patient relations andor inquiriesKnowledge of Medicare, Medicaid and Third Party payerUnderstanding of medical insurance coverage, including which insurance are primary, secondary and tertiary coveragesData entry input proficiencySound knowledge in excel, word and other MS office applications.Ability to analyze and to prioritize tasks.Good oral and written communication skills along with ability to work in a team are required. Ability to work independently along with strong organizational skills is required.Possess critical thinking and a can-do attitude.KNOWLEDGEABLE INMicrosoft (Word, Excel, Outlook)EPIC, EPaces, EMR, Insurance VerificationEQUIPMENTMACHINES OPERATED:Computer, Printer, fax, telephoneCOMPUTER PROGRAMSSOFTWARE OPERATEDMicrosoft (Word, Excel, Outlook, PowerPoint)YEARS OF EXPERIENCE:2-3 year experience in outpatient billingIf you wish to apply for this position, please apply online by clicking the "Apply for Job" button NYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programsVacancy Control Board NumberVCB #: BWY-09302024-30639

Created: 2025-02-25