This position is responsible for reviewing and resubmitting claims to various payers including both insurance companies and employers. Further responsible for working error and denial reports to correct any problem claims and for written and telephone collection activities necessary to effect payment from responsible parties.

$18-$19 hourly based on experience and paid weekly

Benefits include: Health, Dental, Vision, Matching 401k, PTO that starts accruing day 1

• Responds to verbal and written questions from payers, patients, and staff
• Identifies and resolves denials, rebills and/or appeals as necessary to effect payment.
• Performs various collection activities to follow up on un-adjudicated claims including contacting insurers and patients by phone, preparing written appeals with appropriate documentation
• Takes patient payments over the phone and documents details for credit card processing. Refers requests for settlement arrangements to appropriate management for approval
• Performs daily outgoing payer activities in an effort to secure appropriate reimbursement
• As necessary, deciphers payment vouchers and reconciles accounts to bill secondary or patient balances and resolve contractual allowances appropriately
• Maintains working knowledge of payer and government-specific requirements and apply to daily billing and follow-up activities
• Identifies and reports payer trends related to inappropriate reimbursement, denials, etc. to leadership
• Maintains confidentiality of patient information as mandated by HIPAA guidelines
• Meets deadlines and offers assistance in completing projects
• Interacts appropriately with physicians and other colleagues
• As necessary, provides cross coverage for billing/follow up specialists within the department
• Ensures 100% compliance with the organizational Compliance Program and compliance with federal and state licensing requirements

• Promote company Values: ACCCE: Accountability, Compassion, Collaboration, Community, and Excellence
• Meets Departmental and Individual Goals
• Good Relationship with others
  • Values diversity – respects and values difference of fellow employees and customers
  • Exhibits cooperation and teamwork with fellow employees
  • Shows ability to handle dissatisfied customers
• Promote good work habits:
  • Attendance – be on time, schedules days off in advance, checks in and out when working in the office
  • Dependability – can be counted on, does not need to be reminded of work to be completed
  • Maintains a clean and orderly work area; organized
  • Works harmoniously and effectively with subordinates, peers, supervisors, and the public, team player
  • Shares information with others as needed, resolves conflicts, cooperative with teammates
  • Welcomes and seeks constructive feedback on own performance
  • Ensures personal safety and safety of others
  • Displays professional image
  • Adaptability – able to adjust to a variety of situations
  • Performs other duties as assigned

• High school diploma or equivalent required, Associates Degree preferred
• Minimum of two years medical billing experience required
• Minimum one year workers compensation billing experience required
• Must know how to read and decipher NYS Workers Compensation Board decisions and denials
• 2-4 years’ medical billing experience. Physician billing preferred.
• Working knowledge of insurance and healthcare terminology
• Strong customer service skills
• Basic computer skills required to include accurate keyboarding. Accurately typing 40 WPM a plus
• Experience with Medent and Agility EMR preferred

• Ability to sit for long periods of time
• Self-starter, works well under pressure
• Demonstrated ability to analyze problems and arrive at solutions

EEO Employer:

WorkFit Staffing, LLC is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Applicants who require reasonable accommodations:

WorkFit Staffing, LLC is committed to providing a work environment that is free from unlawful discrimination and harassment in any form. WorkFit Staffing, LLC will endeavor to make a reasonable accommodation/modification to the known limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal state and local law. Applicants who require reasonable accommodation pursuant to ADA, during the application process, are encouraged to contact 585-247-9040 to ask for assistance.

To apply please furnish your cover letter, resume, and salary requirements.

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