- Performs account analysis to ascertain the required follow-up procedure.
- Researches suspended/pending claims and transfers information to the payer.
- Prepares report for payer for large volume of outstanding claims.
- Reports collection efforts/issues for high dollar accounts to management at monthly meetings.
- Processes third party vouchers and verifies accuracy and timeliness of payment.
- Reconciles managed care payments to the explanation of benefits to determine patients' responsibility and performs comparison to managed care contract for accuracy.
- Initiates aging reports by financial class in order to identify problematic areas and accelerate cash flow.
- Resubmits claims to payers via hard copy, fax, or electronic medium.
- Contacts physician offices and/or patient and other hospital departments to secure the appropriate information (referrals, notifications, pre-authorizations, and any other required documentation for the payer) in order to process the claim.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of 1+ years of experience in revenue cycle or equivalent experience.
- Strong written and verbal communication skills.
- Detail-oriented and organized.
- Demonstrated computer literacy.
- Some post-secondary education.
- Knowledge of EPIC.
- Experience with Google applications.
- Successfully pass completion of EPIC assessment within 30 days after Network access granted.
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Insurance Follow Up Representative
2 weeks ago
RTR Financial Services Inc Staten Island, United States**Our Company**: · - "The goals of RTR Financial are centered around the collective wellness of people. We fight to strengthen the communities our clients represent by optimizing the health care resources available to the very residents who define those communities."_ · RTR Finan ...
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1 week ago
Hackensack Meridian Health Hackensack, United StatesOverview · 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, ...
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Third Party Follow-Up Representative
1 week ago
Hackensack Meridian Health Hackensack, United StatesOverview: · 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, ...
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WMC Health Suffern, United StatesJob Details: · The Follow-Up Representative is responsible for pursuing collection of all receivables from payers. · Responsibilities: · Provides continual follow up on outstanding accounts through contacts and inquiries to payers to facilitate prompt resolution or payment base ...
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2 weeks ago
61st Street Service Corp New York, United States**Job Summary**: · The Accounts Receivable Follow-Up and Claim Edits Specialist II is responsible for follow-up duties to collect on all open A/R with insurance companies and third parties, as well as the daily review of claim edits from the Epic system. · The Account Receivable ...
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3 weeks ago
Girling Health Care of New York Brooklyn, United StatesAnswering and directing phone calls · - Reaching out to patients regarding information. · - Organize and schedule appointments and meetings · - Maintain contact lists · - Produce and distribute correspondence memos, letters, faxes, and forms · - Assist in the preparation of regul ...
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12 hours ago
ILM Care Group Brooklyn, United StatesWe are seeking a highly motivated indavidual to make follow calls to customers who have used our services and sell them further services. The Sales Representative will be responsible for promoting and selling our products or services to potential and existing customers. This role ...
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4 weeks ago
Medasource White Plains, United StatesPosition title: Insurance Follow-Up Representative · Duration: Full-Time position (Direct hire @ our client) · Salary: $55,000- $65,000 · Schedule: Monday - Friday 8:00 am - 5:00 pm EST · Location: Fully On-site · Job Summary: · This role involves following up with third-party pa ...
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Insurance Follow Up Representative
1 week ago
UnitedHealth Group New York, United StatesContacts insurance carriers/patients for payment, identifies denial root causes, prepares documentation for appeals, processes claim appeals, ensures accurate account setup, maintains knowledge of insurance procedures, meets production and quality st.. ...
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Supervisor, Third Party Follow-Up
4 weeks ago
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3 weeks ago
Catholic Health Service New York, United States**Insurance Follow-up & Customer Service Representative** · **Facility:** CHS Services **Location:** Melville, NY **Department:** Billing/Follow up **Category:** Administrative / Business Support **Schedule:** Full Time **Shift:** Day shift **Hours:** 8-4 **ReqNum:** Under the d ...
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Centralized Follow Up
2 weeks ago
Planned Parenthood White Plains, United States Full timeCentralized Follow Up, LPN, Patient Navigator · Position Summary: Work in conjunction with Centralized Follow Up and Patient Services Departments to develop, implement and perform centralized follow-up management and patient navigation. Promotes and restores patients' health by ...
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Accounts Receivable Follow-Up
4 days ago
61st Street Service Corp New York, United States Full timeJob Summary: · The Accounts Receivable Follow-Up and Claim Edits Specialist II is responsible for follow-up duties to collect on all open A/R with insurance companies and third parties, as well as the daily review of claim edits from the Epic system. · The Account Receivable Fo ...
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A/R Insurance Follow Up
2 weeks ago
Beacon Hill Staffing Group Elmhurst, United StatesJob Description · Job DescriptionInsurance Follow-up Representative · PRODUCTION INFO: · We do require staff to be working an average of 8 claims per hour so at least 65-70 accounts worked a day. A lot of their previous experience did not seem to have been production based. · Typ ...
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PB Follow Up/Denials Analyst
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Eclipse Enterprises Woodside, United StatesWoodside is a leading university hospital in the UK, providing care to approximately patients per year. With a staff of around employees and a balance sheet of 1.6 billion euros, Woodside is a major player in the healthcare industry. In addition to training over 3,300 medical and ...
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Centralized Follow Up Registered Nurse
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Trust Accounting Associate, Follow-Up
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Trust Accounting Associate, Follow-Up
1 week ago
CAA New York, United States Full timeTrust Accounting Associate, Follow-Up (Crossover) · We are seeking a professional to strengthen the accounting team. This position will be focused on various accounting tasks and will be responsible for providing accurate, timely accounting information to assist decision-making. ...
Third Party Follow-Up Representative - Hackensack, United States - Hackensack Meridian Health
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 Third Party Follow-up Rep performs follow-up procedures on unpaid third party accounts by accessing Payer Portals and calling insurance payers, where applicable.
Responsibilities
A day in the life of a Third Party Follow-up Rep at Hackensack Meridian Health includes:
Qualifications
Education, Knowledge, Skills and Abilities Required:
Education, Knowledge, Skills and Abilities Preferred:
Licenses and Certifications Required:
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
