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AR Follow Up Rep - Vaccine Not Required

Med-Metrix
Neptune City, NJ
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Job Purpose

The Accounts Receivable Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.


Duties and Responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
  • Meets and maintains daily productivity/quality standards established in departmental policies
  • Meets and maintains quality standards established in departmental policies
  • Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts
  • Adheres to the policies and procedures established for the client/team
  • Knowledge of timely filing deadlines for each designated payer
  • Initiate appeals when necessary
  • Ability to identify and correct medical billing errors
  • Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Ability to analyze, identify and trend claims issues to proactively reduce denials
  • Understanding of under payments and credit balance process
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients
  • Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Work independently from assigned work queues
  • Maintain confidentiality at all times
  • Maintain a professional attitude
  • Other duties as assigned by the management team


Qualifications

  • 2 years’ experience in insurance collections, including submitting and following up on claims for a Medical Practice, Medical Facility/Medical Billing Company, Ambulatory Surgical Center, and/or Hospital
  • Physician/Professional Billing: 1 year
  • Ability to work a hybrid schedule, working some days on site in Neptune, NJ and the others from home
  • Knowledge of the denied claims and appeals process
  • Knowledge of Worker’s Comp and PIP preferred
  • Extensive knowledge of individual payor websites, including Navinet and Novitasphere
  • Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes
  • Ability to work well individually and in a team environment
  • Proficiency with MS Office. Must have basic Excel skillset
  • Experience with practice management systems. EPIC PB, Allscripts and/or Cerner preferred
  • Strong communication skills/oral and written
  • Strong organizational skills
     

Working Conditions

  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.

 

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Company Description
Med-Metrix a leading provider of performance management analytics, consulting, extended business office, and revenue recovery services to the healthcare industry. Our firm was founded by a veteran management team with a successful track record providing superior service and technology to hospitals.

With the acquisition of Health Ware Concepts in 2011, we added a proven suite of Decision Support and Contract Management technology.

Our executive team includes former leaders of National Revenue Cycle firms, Hospital Turnaround Management businesses, and Managed Care companies. With an unrivaled combination of subject matter experts and state-of-the-art software, we provide our business partners with a measurable, comprehensive view of performance across their organizations.

At Med-Metrix, our employees are our greatest asset. While our company is growing by leaps and bounds, we value the family atmosphere and team spirit that has certainly helped us to achieve success. While our performance standards are high, we strive to work with our employees to provide necessary training and development. We prefer to promote from within, so there are always opportunities to grow. Your hard work will not go unnoticed!

Med-Metrix is an Equal Opportunity Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to age, race, color, religion, gender, national origin, ancestry, citizenship status, marital status, familial status, sexual orientation, gender identity, expunged juvenile records, conviction or arrest record, sex (including pregnancy), gender identity or expression, military status, genetic information, atypical hereditary cellular or blood trait, disabled veterans, veterans of the Vietnam era, disability (including AIDS and HIV related illnesses) and any other characteristic protected by federal, state, or local law.

Med-Metrix

Why Work Here?
Come work for a growing company with plenty of room for advancement!

Med-Metrix a leading provider of performance management analytics, consulting, extended business office, and revenue recovery services to the healthcare industry. Our firm was founded by a veteran management team with a successful track record providing superior service and technology to hospitals. With the acquisition of Health Ware Concepts in 2011, we added a proven suite of Decision Support and Contract Management technology. Our executive team includes former leaders of National Revenue Cycle firms, Hospital Turnaround Management businesses, and Managed Care companies. With an unrivaled combination of subject matter experts and state-of-the-art software, we provide our business partners with a measurable, comprehensive view of performance across their organizations. At Med-Metrix, our employees are our greatest asset. While our company is growing by leaps and bounds, we value the family atmosphere and team spirit that has certainly helped us to achieve success. While our performance standards are high, we strive to work with our employees to provide necessary training and development. We prefer to promote from within, so there are always opportunities to grow. Your hard work will not go unnoticed! Med-Metrix is an Equal Opportunity Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to age, race, color, religion, gender, national origin, ancestry, citizenship status, marital status, familial status, sexual orientation, gender identity, expunged juvenile records, conviction or arrest record, sex (including pregnancy), gender identity or expression, military status, genetic information, atypical hereditary cellular or blood trait, disabled veterans, veterans of the Vietnam era, disability (including AIDS and HIV related illnesses) and any other characteristic protected by federal, state, or local law.

Address

Neptune City, NJ
USA

Industry

Finance and Insurance

Website

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