Account Receivables Specialist - Medical Billers (Hybrid Schedule)

Medical Biller / Accounts Receivable Specialist / Healthcare - New Jersey

A progressive company servicing a large faculty practice at a prestigious NYC Medical Center is seeking an experienced medical biller to work in its central business office. Responsibilities include contacting insurance companies and patients to secure payments on open accounts receivables. Other tasks include following up on denied or unpaid claims.

The central business office is located in Fort Lee, NJ. For commuters from NYC, free shuttle service is available between 167th & 169th Streets & Broadway in NYC and our Fort Lee office location. Discounted parking is also available.

Job Summary: The Accounts Receivable Specialist is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities include inquiring about unpaid claims, appealing denied claims with insurance companies, and contacting patients or account guarantor. The Accounts Receivable Specialist must exhibit professional and courteous behavior at all times during communications.

Job Duties:

• Through an assigned work queues, the Accounts Receivable Specialist I will follow protocols to determine best course of action to follow up on open receivables.
• Applies strong working knowledge of all aspects of billing and collections including billing policies, regulations, diagnosis and procedure coding, and applicable to determine resolution.
• Researches root issue of denial. Apply knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
• Reviews account history for continuous follow up.
• Addresses incoming correspondence and respond timely to ensure prompt resolution. Prepares correspondence to insurance companies, patient and/or guarantor, as necessary.
• Contacts insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
• Documents clearly in billing system the claim issue and course of action taken on every account worked. Documentation and action must be clearly noted for future follow up and review.
• Escalates issues and problems to Supervisor as appropriate.
• Identifies trends or pattern of persistent problems.
• Performs charge corrections based on payer and institutional policies.
• Performs demographic and insurance coverage updates on account as appropriate and bill new insurance as appropriate.
• Performs other job duties as required and assigned, but not limited to job functions within the area of accounts receivable follow up.
• Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.

Minimum requirements:

• High school graduate or GED certificate - must provide proof
• Minimum of 1 year of basic healthcare billing/collection practices, third-party payer reimbursement policies and HIPAA
• Requires computer literacy; competency in an electronic billing system, working carrier portals
• Good interpersonal, verbal, telephone and written communication skills in the English language
• Ability to follow-through and handle multiple tasks simultaneously

Preferred:

• Applications / systems : Epic, GE/ETM (IDX), Siemens Eagle, Alliscripts EMR, Excel Word, Outlook
• Medical terminology experience

Full Time Position

Salary Range: $42,000 - $58,000 - Based on level of position and experience

Job Type: Full-time

Pay: $43,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• ICD-10: 1 year (Preferred)
• Medical Billing: 1 year (Required)

Work Location: In person