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Atlantic Health System
Morristown, NJ | Full Time
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Integrated Resources Inc
Morristown, NJ | Full Time
$40k-49k (estimate)
2 Months Ago
Patient Financial Service Representative
$40k-49k (estimate)
Full Time 2 Months Ago
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Integrated Resources Inc is Hiring a Patient Financial Service Representative Near Morristown, NJ

Duties:
  • Under general supervision by the department’s Supervisor, Team Lead, and Manager of Reconciliation and Reimbursement, this position is responsible for the accuracy and integrity of all monies received to Client.
  • Obtain status on Non-Governmental outstanding accounts receivable, EOBs and follow up with insurance payors on claims.
  • Reviewing contracts for accurate payments and identifying payor trend issues with payment or codes.
  • Notate all accounts with outcome/resolution and/or next steps.
  • Working denials, submitting appeals, and correcting claims.
  • Cash Posting.
  • Insurance refund processing.
  • Extensive insurance follow-up for various insurance plans.
  • Ensure insurance information is entered on accounts accurately regarding primary, secondary and tertiary coverage that is received from patients.
  • Performs all other duties as required by the supervisor/manager.
  • Must maintain up-to-date knowledge of departmental policies and procedures by attending department meetings and trainings (online and classroom).
Required Education:
  • High School Diploma, GED, or equivalent.
Preferred Education:
  • Associate's Degree or Bachelor’s Degree from an accredited College or University.
Required Skills & Experience:
  • Minimum of 1 years’ experience in Healthcare Operations.
  • Strong negotiation, collection, and phone skills.
  • Excellent communication skills; must be able to articulate in a clear and concise manner.
  • Demonstrates computer keyboard, word processing, spreadsheet skills, and multiple system skills enough to meet job criteria and goals.
  • Demonstrates ability to perform data entry and clear communication to multiple levels of the organization.
  • Planning and organizational skills that give the candidate the ability to multi-task, prioritize work, support and accept direction for multiple sources, and perform detailed tasks with efficiency and accuracy.
  • Ability to understand insurance terms, (i.e. HMO, PPO, EOB, Remit, Stop Loss, etc).
  • Strong data and organization skills.
  • Thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements.
  • Overall awareness of specific insurance plans accounts receivable issues.

Job Summary

JOB TYPE

Full Time

SALARY

$40k-49k (estimate)

POST DATE

07/09/2024

EXPIRATION DATE

12/30/2024

HEADQUARTERS

BONITA SPRINGS, FL

SIZE

50 - 100

FOUNDED

2014

REVENUE

$10M - $50M

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