Become A Billing Associate

* Responsible for submitting claims and following up with insurance companies, for providing administrative support to the billing service, and for credentialing providers.
* Essential Functions:
* Prepares and submits claims to various insurance companies either electronically or by paper.
* Provides excellent customer service, answers questions from clients and insurance companies.
* Identifies and resolves billing issues with insurance companies.
* Ensures providers are appropriately credentialed with insurance companies.
* Prepares, reviews and sends monthly reports to clients.
* Performs daily backups on office computer system
* Participates in educational activities and attends monthly staff meetings.
* Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations and other federal confidentiality laws

* Bill customers in a timely and accurate manner.
* Ensures bills are in compliance with appropriate contracts, guidelines and regulations
* Identify issues, research and/or remedy as appropriate
* Maintain and update billing folders in accordance with established guidelines
* Partner with Billing Team Leader to ensure hitting weekly, monthly & annual goals
* Assist with establishing new billing policies and procedures
* Provide quality control for other team members
* Work with management in editing and rebilling clients as needed
* Communicate with clients and management on any questions or concerns

* Account Management.
* Research and resolve all account problems received by telephone and correspondence; address situations like account correction, rebilling or referring to an Account Representative in selected circumstances; process bad debt, bankruptcies and NSF checks; evaluate the number and type of inquiries and recommend procedural and/or system opportunities to improve Patient Financial Services communication with its customers
* Customer Relations.
* May assist internal and external customers with all telephone and written inquires; respond in a prompt and accurate manner to resolve patient financial service issues; analyze individual situation and repayment ability; establish payment plan, provide the patient with alternatives to loss situations whenever possible
* Claim Management.
* Prepare and submit claims to payers/intermediaries, meeting all government and third party regulations
* Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer

* Review and verify all unit and cost bills produced by Accounts Receivable Department.
* Perform all billing functions assigned to Billing Associates.
* Insure the timely and accurate submission of all funding source bills.
* Respond to inquiries regarding billing.
* Responsible for all third party billing, including the timely and accurate submission of all third party bills, applying insurance payments and preparing weekly third party billing reports.
* Communicate department trends and issues.
* Work with supervisors and management to correct or improve contract billing errors.
* Create and maintain relationships with staff and electronic billing systems and requirements
* Ensure maintenance of all paper and electronic billing systems and records, except for the A/R accounting module
* Assist supervisor with staff training and act as back up, as required
* Responsible for daily and monthly General Ledger input and accuracy and production for month end close
* Perform various administrative support duties, such as filing, faxing, answering phones, and mail, as required
* Provide spreadsheet reports and information as requested.
* Perform data entry, as required.
* Perform other related duties, as required.
* Why Vinfen?
* We are committed to you! We offer great training, great benefits, career growth and job security!
* Our comprehensive and generous benefits package includes:
* A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
* First-rate Medical, Dental and Vision plans that are open to all employees scheduled to work 30 hours per week or more.
* Plus, we offer a generous employer contribution toward the cost of medical insurance!
* Employer-paid Life, Accidental Death & Dismemberment and Long
* Term Disability Insurance
* Employer-paid Short
* Term Disability Insurance along with the option to purchase additional, voluntary, Short
* Term disability insurance
* Flexible Spending Accounts (Health and Dependent care)
* Voluntary Term, Whole Life, Accident and Critical Care Insurance
* Generous paid time off (Employees scheduled to work 20 hours or more per week):
* days of Vacation per year
* Paid Holidays
* Sick Days per year
* Personal days per year
* Educational Assistance and Tuition Remission Programs
* Employee Referral Bonus with no annual cap!
* Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more
* Founded in 1977, for 40 years Vinfen has been a leading nonprofit human services organization that "transforms lives" by building the capacity of individuals, families, organizations and communities to learn, thrive and achieve their goals.
* To learn more about Vinfen, and/or to apply to this or other Vinfen positions, please visit our website at www.vinfen.org/careers.
* My Job.
* My Community.
* My Vinfen.
* Vinfen is an Equal Opportunity Employer.
* All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
* Requirements
* One to two years experience in accounts receivable.
* High school diploma or GED required.
* All candidates must be able to successfully pass a CORI, reference, and multi-state background check.
* Driving & Vehicle Requirements

* Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials.
* Performs reconciliation of payments.
* Prepares and deposits payments received. (25%)
* Uses CPT, ICD
* and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges). (20%)
* Assists customers with patient billing inquiries.
* Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%)
* Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%)
* Verifies insurance information via hospital and insurance carrier systems.
* Ensures that electronic and paper claims are sent to insurance carriers in a timely manner. (10%)
* Maintains current knowledge of federal and state reimbursement policies/regulations and system policies pertaining to billing.
* Ensures compliance with regulatory requirements. (10%)
* Performs all other duties as assigned, including but not limited to supporting front end office processes