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Billing Claims Specialist in Binghamton, NY at Netsmart

Date Posted: 2/14/2018

Job Snapshot

Job Description

Company Overview:


Netsmart is healthcare’s largest human services and integrated care technology provider. Netsmart technology platforms and expertise are integral to the delivery of outcomes-based services and care to more than 25 million persons nationwide. Netsmart serves more than 500,000 users in more than 24,000 organizations across all 50 states. Netsmart client communities include behavioral health, addiction treatment, intellectual and developmental disabilities, child and family services, public health, home health, hospice and palliative care, private duty and vital records. 
We became the industry leader through the creation of cutting edge software solutions to meet our client’s needs. This level of creation and product evolution is only made possible by assembling a team of the best and the brightest technical talent in the industry. Do you have what it takes to join us on this journey?

We're growing and looking for Billing Claims Specialist to join our team!  This position is responsible for posting, collecting, and managing accounts. They are responsible for submitting a claim, posting payments & adjustments, rebills, Electronic Claims Submission, following up with insurance companies, reconciling accounts, daily balancing controls & reporting, the patient statement process, and preparing monthly reports.


Principal Accountabilities:

  • Prepares and submits clean claims to various insurance companies either electronically or by paper.
  • Posts payments, adjustments, transfer of responsibility and refunds, as necessary
  • Issues adjusted, corrected, and/or rebilled claims to insurance companies.
  • Denial and insurance follow-up management
  • Insurance Appeal Process
  • Handling patient inquiries.
  • Answers questions from clerical staff and insurance companies.
  • Identifies and resolves patient billing problems.
  • Prepares, reviews, and sends patient statements to mailing service.
  • Reviews accounts and make recommendations to the Senior Claims Billing Specialist regarding non collectible accounts.
  • Performs dialing collection actions including contacting insurance company, contacting site, correcting and resubmitting claims to third party payers.
  • Prepares and posts daily deposits received from customer site (P.O. Box) and/or lockbox remittance.
  • Processes payments and denials from insurance company either electronically or manually.
  • Participates in educational activities.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Job Requirements:

  • Knowledge of billing / collection practices preferred
  • Strong keyboard skills.
  • Works well in environment with firm deadlines; results oriented.
  • Perform multiple tasks effectively.
  • Able to work both independently and as part of a team.
  • Strong analytical skills required.
  • Capable of making timely, independent decisions.
  • Excellent oral, written, and interpersonal communications skill

Experience:

  • Previous medical billing experience along with knowledge of billing related reporting; 1+ years’ experience in health-care billing & collection practices
  • Experience working with medical payers such as Medicare, Medicaid, commercial insurance, Meditech
  • Working knowledge of medical billing systems (i.e. Medic, IDX, Avatar, Tier, Medical Manager, etc.)
  • Experience with Medicaid’s State Eligibility Systems (various states)
  • Working knowledge of CPT and ICD-9 coding systems; Coding certification preferred
  • BA/BS in business administration preferred
  • Excellent organizational skills
  • Proficiency in Microsoft Office Suite

Working Conditions:

  • Office environment

Physical and Cognitive Requirements:

  • Requires full range of body motion including manual finger dexterity and eye-hand coordination

It all begins with a Spark!   At Netsmart we look for exceptional professionals who enjoy being part of a fast-paced and innovative environment. We value individual contributions in a team setting and offer a progressive set of support tools and training. We are proud to offer an excellent compensation package, which includes a complete suite of benefits for full-time associates.

Other benefits include:

  • Medical, Dental and Vision Insurance available Day 1
  • Life Insurance
  • Short/Long Term Disability
  • 401(k) Plan/EAP

Netsmart is committed to helping health and human services providers deliver effective, recovery-based care.

To learn about our culture, industry and job opportunities visit our  career site facebook  or  twitter  account.

Ignite your career today!

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