Required Qualifications(as evidenced by an attached resume): Bachelor's degree (foreign equivalent or higher). Knowledge of Article 28 Diagnostic and Treatment Center (DTC) institutional billing regulations. Three (3) years of experience in revenue cycle management for medical/dental services. Expertise in dental billing, collection, and A/R reconciliation for Medicaid APG, Medicaid Managed Care, Self-Pay, and Commercial payers. Supervisory experience. Expertise in Microsoft Office Suite, software or Practice Management Systems.
Preferred Qualifications: CPA or Bachelor's degree (foreign equivalent or higher) in Healthcare Information Management, Healthcare Administration, Finance, Accounting, Computer Science or related field. Additional years (4+) of experience in revenue cycle management for medical/dental services. Two (2+) years of supervisory oversight of revenue cycle management staff. Expertise in New York State Medicaid billing guidelines. Experience with axiUm(r) software. Dental/Medical Billing Certification. Experience in the use of Electronic Health Records (EHR) and dental billing software.
Brief Description of Duties: Manage and ensure all patient accounts are current - requires detailed and up-to-date knowledge of all types of patient accounts management not limited to analytical demands, planning technical requirements, creativity, accountability for results, and sometimes making decisions with/out the Director in a fast-paced Article 28 clinic.
Patient Accounts Management - Responsible for the review of delinquent accounts and follow up which requires a thorough understanding of all insurances, the dental coding system and adherence to detailed policies and procedure.
Performs the credit and collection function dealing directly with collection agencies.
Ensure that the billing statements are submitted timely and accurately.
Ensures proper write-off and reporting of terminated accounts and the development of related reports.
Manage and ensure all patient accounts are current.
Ensure all pre-authorizations are completed and processed timely and in accordance with insurance guidelines.
Ensure all insurance guidelines are followed for both government and private insurance.
Arrange patient payment plans.
Ensure that all patients are checked for insurance eligibility.
Ensure patient collection is accurate and timely.
Responsible for overseeing billing accounts on over 18,000 active patients and 79,000 patient visits for all departments at the Dental Care Center and resolving revenue cycle issues.
Works under general supervision planning own work, and provides supervision to subordinate staff.
Communicate with all insurance companies on unresolved claims or concerns.
Reports and Accounts Reconciliation - Reconciles daily financial reports in the Electronic Health Record system, works closely with the Director to ensure all activities are in compliance.
Manage accounts receivable; this includes adjudication of claims.
Ensure cash postings are accurate and in compliance with billing transactions.
Ensure patient balances are current and collecting payments is done at each visit.
Ensure insurance claims are being submitted timely and in accordance with federal and state guidelines.
Ensure that the proper coding and billing compliance is established and followed.
Supervisory & Training -
Supervises the coordinating and training of all employees in the credit and collection function.
Assists the Director in the training and update of dental and administrative staff on new and specialized control agency policies, procedures and requirement changes.
Coordinates and participates in the department in-service training program.
Provides instruction to dental staff regarding regulatory policies for patient accounting.
Coordinate with all faculty that credentials with all the insurance companies both government and private insurances are up to date.
Other Duties - Duties/projects assigned as appropriate to rank and departmental mission.
Special Notes: This is a full-time appointment. FLSA Exempt position, not eligible for the overtime provisions of the FLSA. Minimum salary threshold must be met to maintain FLSA exemption.
Essential Position: This has been designated as an essential position based on the duties of the job and the functions performed. Positions that are designated as such may be required to report to work/remain at work even if classes are cancelled, and the campus is working on limited operations in an emergency.
In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes "continuously require all personnel to be fully vaccinated against COVID-19," Candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order also includes those who may be affiliated with or interact with employees of a hospital or nursing home. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.
Resume/CV and cover letter should be included with the online application.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the university Office of Equity and Access (OEA) at (631) 632-6280 or visit OEA .
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Job Number: 2103358
Official Job Title: Senior Staff Assistant
Job Field: Administrative & Professional (non-Clinical)
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