Accounts Receivable Representative

Saint Peter's Healthcare System; Piscataway Township (NJ); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Generous 401(k) match

Paid life insurance

Tuition assistance program

Free onsite parking

Recognition rewards

Job summary

Saint Peter's Healthcare System in Piscataway Township, NJ is seeking an Accounts Receivable Representative to ensure account accuracy and manage billing-related issues. Responsibilities include reviewing claims and resolving account discrepancies. Candidates should have experience with Medical Insurance Billing and a strong grasp of collection practices.

We offer a robust benefits program, including health insurance, tuition assistance, and a generous 401(k) match. Join our team and take your career to the next level!

Qualifications

• One or more years of experience in Medical Insurance Billing or related responsibilities.
• High level of interpersonal skills necessary to collaborate with Patient Accounts Personnel.
• Comprehensive knowledge of Collection, A/R follow-up, and Billing.

Responsibilities

• Ensure account accuracy and review daily claims.
• Resolve account issues and problem-solve independently.
• Manage denials and appeal administrative claims.

Skills

Experience as a Medical Insurance Biller

Proficient in Microsoft Word

Proficient in Microsoft Excel

Interpersonal skills

Knowledge of Collection and A/R follow-up

Job description

Accounts Receivable Representative

Business Office

The Accounts Receivable Representative will:

• Ensure account accuracy.
• Review daily claims to ensure submissions are clean and timely.
• Monitor charges/modifiers/CPT-4s/HCPCS/payments/DRGs/ICD-10 coding.
• Review outstanding accounts using ATB/queues/payments reports/halt report/electronic billing edits/credit balances.
• Submit timely and accurate adjustments/notes/patient balance transfers and medical record requests.
• Work with management team and notifying of notifying of issues that arise with payors/departments/etc
• Resolve account issues and problem solving independently whenever possible.
• Use technology provided (including hospital information system, contract management system, electronic billing system, payer websites and document imaging system.)
• Manage denials and appealing administrative claims.
• Understand denials and how they should be handled.
• Send clinical denials and downgraded claims to appropriate parties to ensure timely appeal.
• Ensure claims denied at time of billing are distributed to appropriate parties for review.
• Update and correct accounts with assistance of originating departments (charges/authorizations/insurance issues).
• Follow departmental and hospital policy and procedure (this includes HIPAA guidelines and Federal guidelines).
• Understand payor contracts and billing guidelines; revenue codes and payor specific requirements; and payor/plan codes.

Requirements

• Requires one (1)or more years experience as a Medical Insurance Biller or related responsibilities and Hospital Billing strongly preferred.
• Proficient in Microsoft Word and Microsoft Excel.
• Requires high level of interpersonal skills necessary to lead others and to work effectively with Patient Accounts Personnel as well as outside agencies.
• Must possess a comprehensive knowledge of Collection, A/R follow-up and Billing. Knowledge of third-party payers, State and Federal Agencies (constantly changing) with regards to Patient Accounting.
• Requires the ability to consistently meet deadlines, to concentrate and pay attention to details 75% of work time.

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.