Garnet Health (formerly Greater Hudson Valley Health System,) is a New York State, not-for-profit corporation headquartered in Middletown, New York, approximately 60 miles north of New York City. Garnet Health is comprised of Garnet Health Medical Center, Garnet Health Medical Center - Catskills, Garnet Health Doctors, Garnet Health Foundation and Garnet Health Foundation - Catskills. Garnet Health is dedicated to developing specialty services, medical programs and needed healthcare services that allow residents to remain close to home to receive quality care.
Providing healthcare to nearly 450,000 residents in Orange, Sullivan and Ulster Counties, Garnet Health was designed to improve the quality, stability and efficiency of healthcare services in the mid-Hudson and Catskill region. Services provided by more than 3,300 employed professionals and over 850 medical staff members, makes Garnet Health one of the largest healthcare providers in the tri-county area. The System’s three hospital campuses (Garnet Health Medical Center - Catskills (Harris and Callicoon, NY) and Garnet Health Medical Center (Middletown, NY) plus several outpatient facilities, offer a broad spectrum of care including:
Under supervision and through the use of the Physician Billing’s medical claim billing software, Epic, the Physician Practice Billing Specialist is primarily responsible for communicating with all insurance carriers. This position is also responsible for researching insurance company issues, such as network problems, workers compensation claims, and a variety of special projects. This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers. Proactively contact carriers regarding reduced or denied reimbursement; ensure patient insurance information is accurate. Retrieve various types of medical documentation. Develop, submit, and track appeals to carriers, per department procedure. Review and analyze explanation of benefits, and adjust patients’ accounts to reflect the carrier’s decisions on the patient’s statement. As a Payment Posting Specialist receives and accurately records all patient and third party mail payments for services rendered using the Physician Billing’s medical claim billing software, Epic. Ensures data input has been recorded properly and timely by reconciling to daily reports. Must be able to balance bank deposits.
High School diploma or Associate Degree (preferred).
2-4 years of physician billing experience, accounts receivable and collection experience along with payment posting experience. Multi-specialty practices/facilities experience preferred. Must have thorough understanding of third party healthcare reimbursement regulations, ICD-10, and CPT coding. Excellent communication, interpersonal, analytic, organizational, and problem solving skills. Must be PC and Microsoft Office proficient and must be able to access specialized healthcare websites via the World Wide Web.
Work is sedentary with intermittent walking and standing, visual acuity and ability to communicate with others.