Yale New Haven Health

Integrated hospital system with academic affiliations

Medical Billing & Collections Representative

Clinical Support & Patient AdministrationPosted on Nov 11

Full-timeNorth Haven, CT, USANo salary listedIn-person

About the Job

Requirements

A high school diploma or GED is required.
Two years of EMS billing experience or related medical billing experience is required.
Knowledge of Medicare and Medicaid regulations is required.
Knowledge of ICD-9 and ICD-10 codes is required.
Ability to obtain National Ambulance Coding Certification within six months of employment is required.

Responsibilities

Obtain insurance information, verify it, process claims, and follow up on claim submissions.
Ensure billing work complies with CMS, state, and federal regulations.
Answer overflow incoming calls from the Call Taking Department and process information accurately, promptly, and courteously.
Understand and maintain equipment in the Billing Department, and report major malfunctions to a supervisor or manager.
Participate in quality-improvement activities and help maintain compliance with customer-service standards.
Maintain performance levels consistent with departmental standards, including certification in Ambulance Coding.
Support corporation and department policies, procedures, objectives, quality-improvement activities, and safety standards.
Monitor and document unusual incidents and errors or omissions, and report non-compliance to a supervisor or manager.
Enter claim data accurately and completely into the billing software system.
Make process-improvement recommendations and provide accurate assistance and instruction to coworkers.
Attend scheduled department meetings and training sessions.
Follow company policies and procedures.
Perform other duties as assigned by management.

Desired Qualifications

A BS or BA degree in a related field is preferred.
Current certification as a Connecticut EMT is preferred.

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Billing & Collections Rep is responsible for obtaining all insurance information, verifying the information and processing the claim. They are also responsible for follow up on all claim submissions. Billing Specialists are to ensure proper CMS, State and Federal Regulatory compliance.

EEO/AA/Disability/Veteran

Responsibilities

1. At all times display professional and courteous conduct and appearance
2. Diligent adherence to protection of Personal Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
3. Demonstrate sensitivity to community and cultural norms.
4. Follow established policies and procedures for State and Federal regulatory Compliance.
5. Answer overflow incoming phone lines from Call Taking Department and processes the information in an accurate, timely, and courteous manner.
6. Understand and maintain equipment located in the Billing Department.
7. Report major malfunctions to the supervisor or manager.
8. Participate in quality improvement activities; assists in maintaining compliance with all established customer service standards. Maintains performance levels consistent with departmental standards including Certification in Ambulance Coding.
9. Support and uphold established corporation and department policies, procedures, objectives, quality improvement, and safety standards.
10. Monitor and document incidents out of the norm, and errors/emissions. Report non-compliance standards to the Supervisor or Manager.
11. Enters data accurately and completely into the Billing Software system for all claims.
12. Maintain positive behaviors, approaches, attitude and commitment to interpersonal service toward customers, visitors, and coworkers. Maintain a calm, non-emotional and professional atmosphere in the organization at all times.
13. Make recommendations for process improvement. Accurately provide assistance and instruction to co-workers.
14. Attend scheduled department meetings and training sessions.
15. Adhere to all company policies and procedures.
16. Perform other duties as assigned by management.

Qualifications

EDUCATION

High School diploma or GED. BS/BA degree in related field preferred.

EXPERIENCE

Two years EMS billing experience or related Medical billing.

LICENSURE

Current certification as a CT EMT preferred. Ability to obtain National Ambulance Coding Certification within 6 months of employment.

SPECIAL SKILLS

Knowledge of Medicare/Medicaid Regulations. Knowledge of ICD-9 and ICD-10 Codes.

YNHHS Requisition ID

199287

About the Company

Yale New Haven Health

Integrated hospital system with academic affiliations

Yale New Haven Health is a health system that operates five hospitals (Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, Westerly) and provides access to a wide network of primary care physicians and specialists through Northeast Medical Group and Yale Medicine. Through its affiliation with Yale University and Yale School of Medicine, it connects patients to the latest medical treatments and research. Its facilities and outpatient locations enable coordinated care across a single organization that aims to be more patient-focused, more accessible, and more cost-effective. The system delivers care by combining hospital services, primary and specialty care, and advanced clinical relationships to integrate treatment with ongoing research and clinical trials, offering patients access to innovative therapies and personalized treatment options.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: New Haven, CT
Founded: 1996

Recently Posted Jobs

Explore more opportunities at Yale New Haven Health

See more jobs