Accounts Receivable Representative

Saint Peter’s Healthcare System; Piscataway Township (NJ); On-site; USD 25,444 - 39,413; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) match

Tuition assistance

Back-up daycare

Onsite parking

Job summary

Saint Peter’s Healthcare System is hiring a Medical Insurance Biller in Piscataway Township, NJ. The role involves ensuring account accuracy, reviewing daily claims, monitoring coding, and resolving account issues. Ideal candidates will have at least one year of related experience, strong proficiency in Microsoft Word and Excel, and excellent interpersonal skills. This position offers a salary range of $18.47 - $28.61 per hour, along with a comprehensive benefits package including medical, dental, and tuition assistance.

Qualifications

• 1+ years experience as a Medical Insurance Biller or related responsibilities.
• High level of interpersonal skills necessary to lead and work effectively.
• Comprehensive knowledge of Collection, A/R follow-up, and Billing.

Responsibilities

• Ensure account accuracy.
• Review daily claims submissions.
• Monitor coding and payments.
• Manage denials and appeals.

Skills

Medical Insurance Billing

Interpersonal Skills

Microsoft Word

Microsoft Excel

Attention to Detail

Job description

Business Office

Responsibilities

• 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.

Salary

Salary Range: 18.47 - 28.61 USD

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.

Benefits

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 .