What are the responsibilities and job description for the INPATIENT REPRESENTATIVE position at Cooper University Health Care?
Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional, three urgent care facilities; Cape Regional Physicians Associates with primary care and specialty care providers delivering services in multiple locations throughout Cape May County; The Cancer Center at Cooper University Hospital Cape Regional, the Claire C. Brodesser Surgery Center; AMI at Cooper, Miracles Fitness and numerous freestanding outpatient facilities providing wound care, lab, and physical therapy services. We have a commitment to our employees by providing competitive rates and compensation programs. Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Cooper University Hospital Cape Regional is accredited by and received the Gold Seal of approval from The Joint Commission.
Short Description
- Process third party claims for payment
- Assure DRG rate, payor factor mark up, and re-bundled items are correct
- Review problem claims to prorate or re-bill appropriate insurance
- Responsible for mail, telephone inquiries, or resolving problems with insurance companies and patients
- Processes adjustments, inquiries and monthly reports on a specific payor, i.e., NJBC, HMOs
- Performs other clerical duties as assigned, i.e. filing, pulling accounts, attaching correspondence, etc.
Experience Required
- Knowledge of 3rd party regulations
- Previous experience in hospital billing
- EPIC experience strongly preferred
Education Requirements
Highschool diploma or equivalent
