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.
EITHER:
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.