Office Assistant 2 (Calculations)
Job Summary
Under the general guidance of the Financial Services Management Team, the Payer Collection Clerk independently reviews open hospital accounts to ensure they have been billed in accordance with appropriate Federal, State, third party payor and Financial Services rules, regulations and procedures as well as that any correspondence, denials or third party payments have been processed correctly. It is the responsibility of the Payer Collection Clerk to contact the insurance carrier that has been billed and determine the reason for the unpaid balance and resolve based on these findings. The Payer Collection Clerk will use independent judgment to take various actions such as faxing information to the payer, preparing an appeal or referring the account for self pay collection to the Attorney Generals Office or other collection agency. The Payer Collection Clerk is also responsible to update any account with new or corrected insurance information once it has been billed.
Responsibilities
- Review open hospital accounts to ensure billing compliance and process any necessary correspondence or third party payments.
- Contact insurance carriers to determine reasons for unpaid balances and resolve accordingly.
- Take independent actions such as faxing information, preparing appeals, or referring accounts to other collection agencies.
- Update accounts with new or corrected insurance information.
- Process incoming correspondence and recoupment requests from third-party payers.
Qualifications
- NYS Department of Civil Service Eligible list or eligible for transfer.
- Promotional if currently employed by New York State and have had one year of permanent competitive or 55-b/55-c service as an office assistant, clerical or keyboarding title allocated to Grade 5 or higher.
- Clerical experience where majority of work time is spent performing mathematical operations, and/or clerical activities related to mathematical operations.
Schedule
Based on a 40 hour work week. Monday – Friday between the hours of 8:00am – 4:30pm.
Message to Applicants
Salary: SG09 $42,641 Recruitment Office Human Resources