Account Representative

Hackensack Meridian Health; Toms River (NJ); On-site; USD 23,000 - 33,000; Full time

Job summary

Hackensack Meridian Health in New Jersey is seeking an Account Representative to support billing and Revenue Cycle follow up, ensuring accuracy for maximum reimbursement and posting payments and adjustments promptly. Epic experience is preferred, with strong communication for patients, payers, and staff.

The role requires knowledge of ICD-10 and CPT codes and a high school diploma or GED, with an emphasis on accuracy and team collaboration in a fast-paced environment.

Qualifications

• High School diploma or GED.
• Prior billing knowledge.
• Knowledge of ICD-10 and CPT codes for claim processing and denials.

Responsibilities

• Liaison to patients regarding billing questions in person or by phone.
• Advocate for patients when claims are not paid properly.
• Manage insurance plans needing authorizations/referrals.
• Provide billing education to staff and providers.
• Record all transactions posted daily and prepare monthly logs.

Skills

Billing knowledge

ICD-10

CPT codes

Epic

Communication

Education

High School diploma / GED

Tools

Epic

Job description

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Account Representative is responsible for billing and Revenue Cycle follow up. Ensures the accuracy and completeness of all submissions for maximum reimbursement. Responsible for timely and accurate posting of all payments and adjustments. Follows appropriate procedures/workflows depending on EHR.

Responsibilities

A day in the life of a Account Representative at Hackensack Meridian Health includes:

• Liaison to our patients as it relates to their billing questions both in person and by phone.
• Advocates for patients when their claims are not paid properly.
• Manages all insurance plans who need auths/referrals, etc.
• Provides billing education to staff and providers.
• Responsible for all letters of medical necessity, record requests from insurance companies.
• Review denials and communications from MCX as needed.
• Runs and reviews revenue cycle reports as necessary.
• Communicates effectively and professionally with co-workers, insurance companies, management and physician office staff.
• Communicates trends or problems with payers.
• Accurately record all transactions posted each day. At the end of each month the logs are forwarded to appropriate staff in finance.
• Entering Charges: All supplied charge information is entered into the computer system timely and accurately.
• Insurance Knowledge: Knowledge of billing rules as they apply to specific payers. Able to detect and report trends, account lead and management.
• Responsible for all account receivable.
• Prepares Bank Deposit as directed by practice manager.
• Assists office manager with clinical insurance requirements.
• Posts all Medical Record request fees.
• Attends all revenue cycle meetings, front end meetings, Epic update meetings and all billing and coding inservices.
• Disseminated all pertinent takeaways to staff and providers as needed.
• Responsible for working Epic Work Qu`s daily.
• Runs all EPIC Revenue Cycle reports daily, weekly and monthly.
• Answer Phones promptly, callbacks are done within 24 hours of receiving messages. All written or verbal communication with patients, insurance companies and office staff is documented in medical record.
• Cross trained and used to backfill a Medical Receptionist whenever needed.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Prior billing knowledge.
• Possess the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials.

Licenses and Certifications Preferred

• Certified Professional Coder.

Starting Minimum Rate

Minimum rate of $20.64 Hourly

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be