Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description

Shift: Tour 2: (8 A.M. - 4 P.M.)

Purpose:

A member of the revenue cycle process, Biller & Follow-Up Representatives are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, and updating patient accounting systems. The Biller & Follow-Up Representative is responsible for contacting insurance payers to review claims that have not paid after a reasonable period of time and follow through to resolution. Major responsibilities include account research, potentially rebilling accounts, seeing accounts with pending balances through to resolution, knowing current rules and regulations for each payer and performing related functions in support of the Patient Financial Services operations and other duties, as assigned.

Specific Duties and Responsibilities:

• Complete both paper and electronic claims, in a timely manner, for review and processing by the Supervisor
• Effectively use computer systems
• Document patient information clearly and completely in the HIS and billing systems
• Ensure compliance with payer rules and regulations
• Perform routine follow-up on outstanding insurance balances
• Review and work appropriate accounts to maximize A/R reduction and minimize write-offs
• Review payer denials and underpayments and work to resolution
• Complete claims for review and processing by the Supervisor
• Interact with other departments to complete billing on accounts and resolve outstanding payer balances
• Refer accounts requiring escalation to Supervisor in a timely manner
• Attend all necessary training sessions to effectively perform the day-to-day functions of the position
• Perform all other duties, as assigned by the Patient Accounting Manager or Supervisor

Minimum Qualifications
1. A Baccalaureate Degree from an accredited college or university; or
2. Graduation from a Senior High School or a High School Equivalency Diploma; and
3. Four (4) years of experience in interviewing, casework or a related field preferably in a hospital or health care facility setting; or
4. A satisfactory equivalent combination of education, training and experience.

Please be advised that proof of Covid-19 vaccination is required prior to hire.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs

Vacancy Control Board Number

VCB #: CON-03102023-0577