Third Party Follow-Up Representative

3 weeks ago


Eatontown, United States Hackensack Meridian Health Full time

Overview:

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Third Party Follow-up Representative performs follow-up procedures on unpaid third party accounts by accessing Payer Portals and calling insurance payers, where applicable.

Responsibilities:

A day in the life of a Third Party Follow-up Representative at Hackensack Meridian Health includes:

  • Performs account analysis to ascertain the required follow-up procedure.
  • Researches suspended/pending claims and transfers information to the payer.
  • Prepares report for payer for large volume of outstanding claims.
  • Reports collection efforts/issues for high dollar accounts to management at monthly meetings.
  • Processes third party vouchers and verifies accuracy and timeliness of payment.
  • Reconciles managed care payments to the explanation of benefits to determine patients' responsibility and performs comparison to managed care contract for accuracy.
  • Initiates aging reports by financial class in order to identify problematic areas and accelerate cash flow.
  • Resubmits claims to payers via hard copy, fax, or electronic medium.
  • Contacts physician offices and/or patient and other hospital departments to secure the appropriate information (referrals, notifications, pre-authorizations, and any other required documentation for the payer) in order to process the claim.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.


Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Minimum of 1+ years of experience in revenue cycle or equivalent experience.
  • Strong written and verbal communication skills.
  • Detail-oriented and organized.
  • Demonstrated computer literacy.

Education, Knowledge, Skills and Abilities Preferred:

  • Some post-secondary education.
  • Knowledge of EPIC.
  • Experience with Google applications.

Licenses and Certifications Required:

  • Successfully pass completion of EPIC assessment within 30 days after Network access granted.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today



  • Eatontown, United States Wendy's Full time

    Families come in all shapes and sizes. And that includes Wendy’s family - the people you work with as a Wendy’s Crew Member. The stuff you want - like fun people, quality food, a schedule to meet your needs, and a paycheck - done. Our founder Dave Thomas had three rules for everyone who works here: - Do the right thing. - Treat people with respect. -...


  • Eatontown, United States York Telecom Corporation Full time

    Job DescriptionJob DescriptionFor over 35 years, Yorktel has been the video managed services partner around the world for some of the largest business and government agencies. With over 10,000 video systems under management worldwide – more than any other video communications service provider – Yorktel has the proven expertise and global reach to deliver...


  • Eatontown, United States York Telecom Corporation Full time

    Job DescriptionJob DescriptionFor over 35 years, Yorktel has been the video managed services partner around the world for some of the largest business and government agencies. With over 10,000 video systems under management worldwide – more than any other video communications service provider – Yorktel has the proven expertise and global reach to deliver...


  • Eatontown, United States MOBILCV19,LLC Full time

    Job DescriptionJob DescriptionCALLING ALL LPNs GREAT WORK ENVIRONMENTTOP PAYNO NIGHTS - NO WEEKENDSPTO and VACATION PAYFULL-TIME OR PART-TIME POSITIONS AVAILABLEGET THE CAREER YOU DESERVE​Responsibilities:Work with our medical team to provide a basic patient evaluation  of Senior Patients  with potential UTI infectionsAssist in the administration of...


  • Eatontown, United States MOBILCV19,LLC Full time

    Job DescriptionJob DescriptionCALLING ALL LPNs GREAT WORK ENVIRONMENTTOP PAYNO NIGHTS - NO WEEKENDSPTO and VACATION PAYFULL-TIME OR PART-TIME POSITIONS AVAILABLEGET THE CAREER YOU DESERVE​Responsibilities:Work with our medical team to provide a basic patient evaluation  of Senior Patients  with potential UTI infectionsAssist in the administration of...


  • Eatontown, New Jersey, United States CityMD Full time

    CityMD is a network of urgent care centers dedicated to setting an unprecedented standard of care for our patients and an edifying, intuitive work environment for our employees. We are looking for board-certified Emergency and Family Practice trained physicians who thrive in an environment surrounded by highly trained and motivated individuals and operate on...


  • Eatontown, New Jersey, United States CityMD Full time

    CityMD is a network of urgent care centers dedicated to setting an unprecedented standard of care for our patients and an edifying, intuitive work environment for our employees. We are looking for board-certified Emergency and Family Practice trained physicians who thrive in an environment surrounded by highly trained and motivated individuals and operate on...


  • Eatontown, United States Camille Kiste - State Farm Agent Full time

    Job DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Office Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you...


  • Eatontown, United States Camille Kiste - State Farm Agent Full time

    Position Overview Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Office Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you are a motivated self starter...


  • Eatontown, United States Wakefield & Associates Full time

    At **Wakefield & Associates** we succeed as a team, not as individuals. Collaboration and cooperation are prerequisites. Exceptional communication skills are crucial. Competence with computers is valued. Punctual, enthusiastic, quick learners can thrive in our offices. We are looking for a positive and experienced Client Services Representative, who is a...


  • Eatontown, United States Camille Kiste - State Farm Agent Full time

    Job DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Customer Relations Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer...


  • Eatontown, United States Lowe's Companies Full time

    What You Will Do All Lowe’s associates deliver quality customer service while maintaining a store that is clean, safe, and stocked with the products our customers need. As a Seasonal Merchandising Service Associate, this means: • Being friendly and professional, and engaging vendors and associates to meet store needs. • Ensuring signage, pricing...


  • Eatontown, United States Lowe's Companies Full time

    What You Will Do All Lowe’s associates deliver quality customer service while maintaining a store that is clean, safe, and stocked with the products our customers need. As a Seasonal Merchandising Service Associate, this means: • Being friendly and professional, and engaging vendors and associates to meet store needs. • Ensuring signage, pricing...


  • Eatontown, United States VC Furniture & Mattress Full time

    Commission based pay offering uncapped earning potential! No sales experience necessary! We have Full and Part time position available. Love where you work! At Value City Furniture, we take pride in giving our guests the very best experience when they shop with us. With a warm greeting and a big smile, every day is an opportunity to turn first time...


  • Eatontown, United States Veritas Veterinary Partners Full time

    Job DescriptionJob DescriptionGarden State Veterinary Specialist Eatontown is excited to announce we are hiring Client Service Representative to support our busy hospital. ​​​​The Client Service Representative is one of the most important positions in our emergency/specialty practice as you are on the front lines, there to greet each client who...


  • Eatontown, United States Veritas Veterinary Partners Full time

    Job DescriptionJob DescriptionGarden State Veterinary Specialist Eatontown is excited to announce we are hiring Client Service Representative to support our busy hospital. ​​​​The Client Service Representative is one of the most important positions in our emergency/specialty practice as you are on the front lines, there to greet each client who...

  • Physical Therapist

    5 days ago


    Eatontown, United States HealthPRO Heritage Full time

    Overview Part-time Physical Therapist  Assisted Living- Eatontown, NJ Schedule- Flexible schedule- 15-20 hours each week *We provide therapy M-F, no evenings or weekends At HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the better. As an Associate, your...


  • Eatontown, United States LOG-NET, Inc. Full time

    Job DescriptionJob DescriptionSalary: LOG-NET is a leader in the global autonomous logistics marketplace.  Our platform powers some of the largest brands in the world in the global distribution of there products.  We are looking to add to our operations and compliance team to drive strategic development of current and future management controls throughout...


  • Eatontown, United States LOG-NET, Inc. Full time

    Job DescriptionJob DescriptionSalary: LOG-NET is a leader in the global autonomous logistics marketplace.  Our platform powers some of the largest brands in the world in the global distribution of there products.  We are looking to add to our operations and compliance team to drive strategic development of current and future management controls throughout...


  • Eatontown, United States Hackensack Meridian Health Full time

    Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one...