Hospital Billing Account Receivable Follow-up Representative - Lawrenceville - Middlesex Health

    Middlesex Health
    Middlesex Health Lawrenceville

    23 hours ago

    Description
    Position Highlights

    Department:
    Accounts Receivable

    Hours:
    40.00 per week

    Shift:
    Shift 1

    Position Summary

    The Hospital Billing Accounts Receivable Follow-up Representative is responsible for conducting follow-up process activities on outstanding payments through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently.

    Work also includes reviewing insurance remittance advices and resubmitting claims with necessary information. The incumbent will continuously interact with physicians and insurance vendors to investigate outstanding claims and incomplete payments.

    Essential Duties & Responsibilities
    Under Direct Supervision of the Patient Accounts Manager, the Hospital Billing Accounts Receivable Representative will include the following:
    Responsible for Identifying and resolving any and all outstanding issues preventing claim resolution for assigned payers
    Responsible for working all no response, underpayment, and denial Work Queues 
    Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
    Meets and maintains daily productivity and quality standards established in departmental policies
    Maintain a relationship with provider representatives
    Update and monitor spreadsheets, projects, and audits with assigned payers
    Working knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contracts
    Identify and report underpayments and denial trends
    Help cover customer service phone calls as needed
    Perform special projects and other duties as needed by the management team.
    Maintain confidentiality at all times

    Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

    Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
    Adheres to all Core Values (Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation).
    Adheres to all Absolutes (Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment).
    Other job related duties as assigned.

    Minimum Qualifications
    Working knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contracts
    Must have a working knowledge of hospital billing systems.
    A minimum of 2 years experience in Hospital Accounts Receivables follow up
    Ability to analyze, identify and resolve issues causing payer payment delays Initiate appeals when necessary
    Ability to multitask, prioritize, and manage time efficiently
    Strong interpersonal skills
    Outstanding problem-solving and organizational abilities
    Preferred Qualifications
    Epic hospital billing system knowledge desired
    IDX hospital billing system knowledge a plus

    Comprehensive Benefits Offered
    Competitive and affordable benefits package
    Shift Differentials
    Continuing Education assistance
    Tuition reimbursement
    Student Loan relief through Fiducius
    Quick commute access from I-84, Route 9 and surrounding areas

    About Middlesex Health
    The Smarter Choice for your Career

    Come join one of Connecticut's Top Workplaces, and a Magnet designated organization At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better.

    Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

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