Performs billing functions to review and take necessary actions to resolve billing errors and ensure clean claim submission.
Works directly with third-party payers, internal and external customers, and contract clients to support effective and efficient collection results on assigned accounts in accordance with department policy and procedures.
Maintains thorough knowledge of third-party billing and collection requirements for assigned payers.
Uses available resources, including electronic inquiries, to verify eligibility, benefits, and claim status.
Exercises good judgment in account resolution and documents all activity in a clear, accurate, and consistent manner using the appropriate online system.
Processes correspondence, explanation of benefits, and remittance advice daily to meet the 72-hour turnaround requirement.
Provides excellent customer service when responding to incoming or outgoing calls and shares clear, appropriate information as needed.
Reconciles payments and contracts when reviewing accounts to ensure account balance accuracy.
Advises the team lead and/or supervisor of billing errors, payer trends in claims processing, denials, or payment fluctuations for proper escalation and handling.
Meets departmental productivity and quality assurance standards in accordance with departmental policies.
Adheres to all hospital compliance regulations, including HIPAA.
High school diploma or equivalent.
Some billing experience.
Medical biller knowledge.
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago