Team Leader Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time Hours: M-F 8am-4pm Shift: Day Req #: 41527 Posted Date: Dec 12, 2024 Hiring Range: $20.96/HR - $26.35/HR Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28138) Internal Applicant link Job Details: Facilitates accurate and timely billing to third party payers, as well as efficient follow-up on unpaid and denied claims + RESPONSIBILITIES + Works closely with department Supervisor to ensure effective distribution of work for optimum outcomes in accounts receivable. + Facilitates ongoing self-evaluation of team effectiveness. Solves problems on a daily basis and communicates resolution to Supervisor. + Trains new employees and assists in resolution of problem accounts, bringing concerns, complaints and new ideas from the team to Supervisor. + Is responsible for filing insurance claims for all third party payers. Addresses any edits pertaining to billing correctly and accurately, reports repetitive edits to management for system correction. + Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy and maintains a professional appearance and positive attitude. + Promotes positive relationships among co-workers. Communicates effectively within the department and keeps management informed on key issues + Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected and rebilled successfully. + Follows up on unpaid or denied claims. Actively works on assigned queues incorporating high dollar report and denial queue into this process. Processes credit balances and issues refund requests where appropriate. + Stays informed of all rules and regulations governing billing and reimbursement of 3rd party payors. Utilizes tools available to each payors including; websites, payor meetings, educational seminars and provider reps. + Performs other related duties as assigned. QUALIFICATIONS/REQUIREMENTS EXPERIENCE + 3 – 5 years billing experience EDUCATION + Associate’s Degree or High School Diploma with experience. LICENSES/CERTIFICATIONS + On the job training will consist of the following: 1) Regulator compliance 4) Follow-up 2) Information gathering 5) Application of cash and patient payment calculations 3) Data correction OTHER + Written and verbal communication skill About Us: HealthAlliance Hospital Benefits: We offer a comprehensive compensation and benefits package that includes: + Health Insurance + Dental + Vision + Retirement Savings Plan + Flexible Savings Account + Paid Time Off + Holidays + Tuition Reimbursement Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28138) Internal Applicant link Talent Community Search Jobs Hiring Events (https://wmchealthjobs.org/job-events-list/)