Hauppauge, New York30+ days ago
Acts as the liaison between the department’s division staff, finance staff and Electronic Medical Records (EMR)/billing vendor; Provides guidance and technical support to clinic staff on billing and insurance-related matters; Reviews billing and insurance claims issues provided by billing vendor to resolve; Serves as a liaison between patients and healthcare professionals regarding billing and insurance-related matters; Creates educational materials on health insurance-related matters; Provides training to clinic staff on billing and health insurance rules, regulations and guidance; Evaluates the effects of new laws and regulations on insurance processes; Provides input on policies and procedures related to health insurance; Reviews reports, researches and resolves issues identified by the EMR/billing vendor; Works with clinic staff and EMR/billing vendor to resolve insurance payment and billing errors; Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records; and. a) Graduation from a college with federally-authorized accreditation or registration by NY State with a Bachelor's Degree in Business Administration, Finance, Accounting, Health Administration, Public Health, or a related field and two (2) years of experience in the analysis of financial statements, medical billing, or in the collection of revenues from Medicare/Medicaid or other third-party insurers; OR, b) Possession of a satisfactory certification* in medical billing or coding, and four (4) years of experience in the analysis of financial statements, medical billing, or in the collection of revenues from Medicare/Medicaid or other third-party insurers.