Patient Fin. Svc. Rep, AHSIC - Morris Plains, United States - Atlantic Health System

Description

Responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts, cash application and reconciliation and/or resolving customer service issues.

Additional responsibilities may include notifying the patient and/or guarantor of liabilities, verifying insurance benefits, and assisting customers regarding billing questions.

Confirm delivery tickets ensure proof of delivery requirements are met.

Track and log receipt of delivery tickets from Operations and Professional Services. Communicate any delays with management.

Track order processing and delivery errors and report back to management.

Process backorders.

Bill orders and review for accuracy.

Create rental claims and review for accuracy.

Prepare and submit paper claims.

Prepare billing batches and submit electronic claims.

Review and correct claim rejections. Identify trends and work with leadership to develop and execute action plans.

Manage compliance requirements for pap therapy to assure accurate billing.

Maintain CSR error log.

Review tickets in Billing for accuracy and audit medical records to verify medical policy requirements are met.

Verifies modifiers are in place in accordance with the individual payor requirements and communicates any errors in the matrix.

Verifies pricing is accurate and communicates errors to assure pricing tables are accurate.

Verify the accuracy of orders created by CSRS and that all required demographic and order information is complete.

Verify insurance process has been followed and authorizations have been obtained as needed.

Regular telephone contact with patients/clients, discharge planners, physicians and their staff, and other referral sources.

Respond to problem situations, documenting the inquiry and responding in a timely and efficient manner.

Report system errors to management for correction (missing modifiers, pricing discrepancies).

Must be able to qualify patients for equipment based on Medicare and insurance guidelines.

Facilitate communications with other departments by coordinating the delivery and setup of product and services.

Performs all other duties as required by the supervisor/manager.

Overtime may be required

High School Diploma of Equivalent.

1-2 Years previous healthcare billing experience preferred.

Ability to read, interpret and apply medical medical policies and make informed decisions regarding coverage criteria.

Proficient in Microsoft Office Suite

Excellent verbal and written communication skills

Must be organized and have the ability to work independently, identify and solve problems.

Willingness to learn, attention to detail and good follow up skills


ABOUT US

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost.

This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members.

Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation.

Our facilities and sites of care include:
Morristown Medical Center, Morristown, NJ

Overlook Medical Center, Summit, NJ

Newton Medical Center, Newton, NJ

Chilton Medical Center, Pompton Plains, NJ

Hackettstown Medical Center, Hackettstown, NJ

Goryeb Children's Hospital, Morristown, NJ

CentraState Healthcare System, Freehold, NJ

Atlantic Home Care and Hospice

Atlantic Mobile Health

Atlantic Rehabilitation

We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We have received awards and recognition for the services we have provided to our patients, team members and communities.

Below are just a few of our accolades:
100 Best Companies to Work For and FORTUNE magazine for 15 years

Best Places to Work in Healthcare - Modern Healthcare

150 Top Places to work in Healthcare - Becker's Healthcare

100 Accountable Care Organizations to Know - Becker's Hospital Review

Best Employers for Workers over 50 - AARP

Gold-Level "Well Workplace":
Wellness Council of America (WELCOA)

One of the 100 Best Workplaces for "Millennials" Great Place to Work and FORTUNE magazine

One of the 20 Best Workplaces in

Health Care:
Great Place to Work and FORTUNE magazine

Official Health Care Partner of the New York Jets

NJ Sustainable Business


EEO STATEMENT
Atlantic Health System, Inc.

is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.