Unknown Employer · Sweden
Patient Financial Services Reimbursement Specialist I
Description Position at Northwell Health Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut w...
Description Position at Northwell Health Northwell is the largest not-for-profit health system in the Northeast, serving residents
of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians.
Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley,
Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private
employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health
care for the better Summary: Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing
compliance and accounts receivable functions. Responsible for the assigned areas claims submission, payment application, denial
management, and account follow-up to ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims, payments,
rejections, refunds, credit balances and unapplied cash on a daily basis and performs timely follow-up. 2. Confirms electronic and
hard-copy billing of any delinquent claims. Rebills and follow-ups of all delinquent claims. 3. Responds to all patient and payer
inquiries, denials, correspondence and telephone inquiries. 4. Advises other areas of updated insurance information and claim
denials, i.e., registration. 5. Follows through with education of rules and regulations in the managed care system, as well as
State & Federal guidelines. 6. Adjusts account balances to specific account needs. 7. Maintains Contract Management reporting
(i.e., payment errors, carve out billings) and updates any information as needed or requested by supervisor. 8. Responsible for
reviewing and resolving patient/insurance credit/debit balances and ensure proper communication is delivered to the patient. 9.
Adheres to all policies and procedures related to federal, state and department compliance for the position. 10. Maintains and
Model the Organizations values. 11. Demonstrates regular, reliable and predictable attendance. 12. Performs other duties as
required. Education Skills Experience: High School Graduate or Equivalent required. Data entry and customer service experience
preferred. Six months minimum experience in billing and collections is preferred Medical Office/Healthcare experience preferred.
Company: Nuvance Health Org Unit: 1785 Department: Patient Accounting Exempt: No Salary Range: $19.54 - $29.00 Hourly
Role
Patient Financial Services Reimbursement Specialist I
Category
Professional & Corporate
Published
July 18
Deadline
August 17
Source