Trac And Ccmc Coordinator, Full Time Days - Billing

Long Island Community Hospital has served this richly diverse region as a patient-first community hospital for more than 60 years. As Long Island’s only independent community hospital, we are 100% committed to becoming the community’s healthcare provider of choice with our greatly enhanced services including the Knapp Cardiac Care Center, our highly-advanced heart disease diagnosis and treatment facility, our new modern surgical pavilion, our unique ER approach, and our high-touch services including women’s imaging, sleep laboratory and orthopedics and more. These services are delivered with the highest level of compassion by our LI Community Hospital staff – Long Islanders with an unmistakable mix of courage and heart who care about the people right here in our community and whose sole purpose is to provide personalized comfort.

Long Island Community Hospital is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

• Prepare and submit accurate insurance claims to payer within proper timeframes.
• Maintain a thorough understanding of 3rd party payer contracts.
• Resolve claims processing issues with 3rd party payers and provides all requested information timely; engage patients and family members to resolve claim or insurance issues when needed.
• Review claims for accuracy and correct errors as needed.
• Provide documentation to have claims processed and paid. Researching, preparing, and providing 3rd party payer appeals. Request account adjustments in accordance with payer contractual agreements.
• Document all actions taken on accounts with clear and concise account notes and maintaining billing logs as required.
• Ensure that correct insurance company name, address, plan, and filing orders are recorded in the patient accounting system (Epic).
• Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims.
• Collaborate with referral/authorization staff to resolve issues.
• Prepare reports as required. Monitor and identify trends, denials/claim errors by payer and refer as appropriate.
• Effectively work payer scrubber and denial reports daily.
• Verify insurance eligibility utilizing available technologies, payer websites, or by phone contact with third party payers.

• Must be able to follow directions, work independently and as part of a team.
• Strong interpersonal skills to interact with patients, guarantors, personnel insurance companies and outside agencies.
• Ability to work in a highly computerized Microsoft Windows environment
• Professional telephone etiquette
• Ability to interpret insurance carrier contracts
• 2-5 years of revenue cycle work experience, Inpatient knowledge preferred
• Possess ability to communicate effectively in both written and oral forms
• Knowledge of insurance companies and their requirements
• High School diploma or equivalent
• Ability to complete projects/tasks accurately and timely.
• Excellent organizational and analytical skills