Accounting Clerk – Outpatient Accounting

Job Details: Billing and Claims Specialist

Jamaica Hospital Medical Center, a member of the Medisys Health Network, is a 404-bed fully accredited community-based teaching hospital and Level I Trauma and Stroke Center. We provide general medical, pediatric, and psychiatric emergency services, ambulatory care on and off-campus, ambulatory surgery, and a broad spectrum of diagnostic and treatment services.

Jamaica Hospital was ranked among 2021’s Best Hospitals in America and is the proud recipient of the Health grades 2021 America’s 250 Best Hospitals award.

We are currently seeking experienced Accounting Clerks for our billing department. This role is crucial in ensuring accurate claims submission, billing support, and account reconciliation for patient services.

Primary Responsibilities:

Prepare and submit accurate claims to insurance companies, ensuring compliance with all regulations and reimbursement methodologies (e.g., DRG, APC, APG).
Verify insurance eligibility, benefits, and coverage prior to billing to minimize denials.
Reconcile patient accounts, resolve billing discrepancies, and follow up on unpaid claims to ensure timely payments.
Monitor accounts for overdue payments and initiate collection efforts in alignment with hospital policies.
Maintain a thorough understanding of medical coding (CPT4, ICD10, HCPCS) and provider contract concepts to support claims processing and resolution.
Utilize advanced MS Excel functions, including pivot tables and formulas, to create and analyze standardized billing reports.
Work Schedule:

Days: 8:30 AM – 5:00 PM (Full-Time)

Tagged as: billing, collection, insurance