Account Representative, Coding/Billing and Collections

Westchester County, NY

Department: Healthcare Finance and Operations Job Number: 5376

Title: Coding/Billing and Collections Account Representative

Location: Westchester County, NY

Industry: Healthcare

Occupational Category: Finance

Hours: Full-time, 40 hours per week


  • Register and update patient demographics on Practice Management System (PMS)
  • Verify insurance coverage as needed
  • Obtain signed RCM departmental forms
  • Scrub bills for appropriate ICD 10 & CPT codes for assigned MD's
  • Post charges for assigned MD's
  • Bill out timely filing of claims including any documentation as needed for assigned MD's
  • Address insurance billing rejections and denials on a timely basis as needed
  • Run Billing and A/R reports/tasks to stay current for assigned accounts
  • Write and submit timely reconsiderations and appeals to insurance carriers
  • Work and respond to all associated incoming correspondence for assigned accounts
  • Handle incoming phone calls from patients and insurance carriers
  • Perform appropriate follow up and collection calls to patients and insurance carriers
  • Submit Timely Patient Refund Requests/Submissions
  • Address Insurance and other Third-Party Refund Requests as needed
  • File all work in batches and document the patient's account in the PM/EMR system

Experience Requirements:

  • Coding/Billing and Collections Account Representative

Desired Skills:

  • Coding/Billing and Collections Account Representative
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