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Patient Financial Service Representative

Morristown, NJ 07960

Posted: 03/17/2023 Employment Type: Contract Job Category: Accounting & Finance Job Number: 554133 Country: United States Is job remote?: No

Job Description

Patient Financial Services Representative
Contract - 3 months
Morristown, NJ
Pay Range: $21.21-$23.33/hr

Must Haves:
  • Associate or Bachelor's Degree
  • Minimum of 1 year of experience in Healthcare Operations
  • Must have Cash Posting experience
  • Proficient with MS Office Programs
  • EOB Experience
Job Summary:
Under general supervision by the department’s Supervisor, Team Lead, and Manager of Reconciliation and Reimbursement, this position is responsible for the accuracy and integrity of all monies received to the organization.

  • Obtain status on Non-Governmental outstanding accounts receivable, EOBs and follow up with insurance payors on claims
  • Reviewing contracts for accurate payments and identifying payor trend issues with payment or codes.
  • Ability to understand insurance terms, (i.e. HMO, PPO, EOB, Remit, Stop Loss, etc).
  • Strong data and organization skills
  • Notate all accounts with outcome/resolution and/or next steps
  • Extensive insurance follow-up for various insurance plans
  • Working denials, submitting appeals, and correcting claims
  • Thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements.
  • Insurance refund processing
  • Overall awareness of specific insurance plans accounts receivable issues.
  • Ensure insurance information is entered on accounts accurately regarding primary, secondary and tertiary coverage that is received from patients.
  • Performs all other duties as required by the supervisor/manager.
  • Must maintain up-to-date knowledge of departmental policies and procedures by attending department meetings and trainings (online and classroom).

  • Associate or Bachelor’s degree from an accredited College or University

  • Minimum of 1 years’ experience in Healthcare Operations
  • Strong negotiation, collection, and phone skills.
  • Excellent communication skills; must be able to articulate in a clear and concise manner.
  • Demonstrates computer keyboard, word processing, spreadsheet skills, and multiple system skills enough to meet job criteria and goals
  • Demonstrates ability to perform data entry and clear communication to multiple levels of the organization
  • Planning and organizational skills that give the candidate the ability to multi-task, prioritize work, support and accept direction for multiple sources, and perform detailed tasks with efficiency and accuracy
  • Experience with Cash Posting is required.
  • Previous experience with EOB is strongly preferred
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