Biller/Medical Records Reviewer

Requisition Number: 22834

Position Title:

External Description:

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Summary:

Responsible for obtaining signed orders from physicians per state regulations. Manages and maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements. Runs daily physician order runs for mailing. Performs duties associated with billing and assisting with collection of accounts receivables. Provides back-up coverage of the reception desk in the absence of the receptionist and back-up for the schedulers.

 

Responsibilities:

1. Maintains the integrity of the home care patient medical records to include tracking and timeliness of physician orders to meet regulatory requirements, running daily physician order runs for mailing/faxing, and maintains confidentiality and safety of patient medical records and information.

2. Print reports for outstanding orders, follow-up with physician offices re: re-printing and/or re-faxing of orders to comply with State of CT Regulations.

3. Reviews and enters patient/client registrations as submitted. Ensures proper pay status, ID numbers, social security numbers, diagnoses codes, and physicians are entered in the computer to generate billing.

4. Conducts insurance verification/authorization process.

5. Review and prepare patient billing, per guidelines established by payor. Prepares bills, copies all forms to be sent with bills, follow-up with billing adjustments and co-pays to individual patients. Checks paid bills against files to determine collection action.

6. Processes phone calls from patients or patient representatives and supply billing and payment information requested.

7. Performs collection activities for payors.

8. Cover scheduling position when staff is out and/or on vacation.

9. Cover intake assistant duties when staff is out and/or on vacation.

10. Provides back-up coverage of telephone for the reception area.

11. Processes invoices for payment as requested.

12. Fulfills all compliance responsibilities as related to the position.

13. Maintains and Models Nuvance Health Foundational Values.

14. Demonstrates regular, reliable and predictable attendance.

15. Performs other duties as required.

Other information:

Required: High school diploma or equivalent. Accurate keyboarding skills. Valid Driver’s License

Basic knowledge and understanding of computerization and other office machines. Integrity and maturity to handle confidential information

Desired: Previous health care scheduling, medical records, and/or billing experience preferred. Experience with basic bookkeeping principles preferred.

Minimum Experience: one year in a similar environment

Location: Danbury-100 Saw Mill Road

Work Type: Full-Time

Standard Hours: 40.00

FTE: 1.000000

Work Schedule: Day 8

Work Shift: Monday - Friday; 8:30 AM - 5:00 PM

Org Unit: 617

Department: Financial

Exempt: No

Grade: S4

Salary Range:

$16.3200 - $31.0500 Hourly

 

Credentials:
Essential:
* Valid Drivers License

Education:
Essential:
* HS Graduate or Equivalent
Working conditions:
Essential:
* Significant manual skills / motor coord & finger dexterity
* Significant occupational risk
* Very Heavy effort. May exert up to 50 lbs. force
* Significant exposure to dirt, odor, noise, human waste, etc.

 

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

City: Danbury

State: Connecticut

Community / Marketing Title: Biller/Medical Records Reviewer

Company Profile:

Health Quest and Western Connecticut Health Network have combined to form a new nonprofit health system. The name for the new health system will be Nuvance Health. The new health system was created to provide communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible and affordable care.

EEO Employer Verbiage:

Location_formattedLocationLong: Danbury, Connecticut US

Job Number: 60402