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. For more information, go to licommunityhospital.org , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , Twitter , YouTube and Instagram .

Position Summary:
We have an exciting opportunity to join our team as a Biller - Full Time Days 9:00AM-5:00PM - FIN-Rev Cyc Ops-Outpatient - Full-Time

In this role, the successful candidate This position involves managing billing and insurance follow-up. It requires a deep understanding of contracts and claims processing, a high level of commitment to customer service, and adherence to compliance and departmental policies. The individual will also manage Epic work queues, submit claims and adjustments, work on ad hoc projects, and perform other specialized functions as assigned by management.

Job Responsibilities:

1. Billing/Follow-up:
* Review assigned accounts in Epic and third-party remittances to determine accounts requiring actions.
* Verify that charge posting and claims submission are accurate.
* Analyze any open balances and ensure accurate payment posting.
* Complete appropriate follow-up action as necessary.
* Identify and register accounts correctly to ensure timely submission.
* Complete daily assignments and WQ goals.
1. Customer Service:
  * Address and resolve patient inquiries and disputes promptly, including all necessary research, follow-up, and communication with departments and the patient.
  * Ensure the accuracy of information provided to internal and external customers.
  * Demonstrate a high level of commitment to customer service by responding to the needs of internal and external parties or departments.
2. Manage internal/external correspondence:
  * Respond to communications in a timely and compliant manner.
  * Provide itemized bills, medical records, and other requested documentation in compliance with HIPAA.
3. Compliance:
  * Adhere to compliance and departmental policies and procedures, including compliance with 100% of HIPAA requirements, required training, and other Hospital mandated activities.
  * Understand and adhere to the key performance indicators of RCO Teams.
4. Specialized Functions:
  * Ensure understanding of contracts, fee schedules, and insurance participation.
  * Perform credit analysis, manage Epic work queues, and submit voids and adjustments.
  * Demonstrate the ability to exercise sound independent judgment by applying the appropriate policy or procedure.
  * Recognize, establish, and attend to priorities promptly.
  * Know escalation/JOC process and treasury requests.
  * Show initiative by suggesting appropriate process improvements.
  * Perform other duties as assigned.

Minimum Qualifications:
To qualify you must have a High School Diploma or equivalent. 0-1 years of relevant experience. Excellent communication (both written and oral), detail orientation, customer service, organization, and multitasking skills. Basic computer skills, including Microsoft Office applications (Outlook, Word and Excel).

Preferred Qualifications:
1-2 years hospital billing and/or follow-up experience. Systems experience with Epic and/or other, and knowledge of medical terminology.

Qualified candidates must be able to effectively communicate with all levels of the organization.

Long Island Community Hospital provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

Long Island Community Hospital is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view Long Island Community Hospital's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

Long Island Community Hospital provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $52,942.50 - $52,942.50 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

Required Skills

Required Experience

Strong interpersonal and communication skills

Knowledge of, and experience with, nuclear facility operations

Knowledge of, and experience with, DOE nuclear facility safety including technical safety requirements, processes and reporting requirements

Attention to detail

Intermediate PC skills including Microsoft software

DOE “L” or “Q” clearance or ability to obtain a DOE “L” or “Q” clearance