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Third Party Follow-Up Specialist
2 months ago
About the Role:
We are seeking a highly organized and detail-oriented Third Party Follow-Up Representative to join our team at Hackensack Meridian Health. As a key member of our revenue cycle team, you will be responsible for performing follow-up procedures on unpaid third party accounts, accessing payer portals, and communicating with insurance payers to resolve outstanding claims.
Responsibilities:
- Perform account analysis to determine the required follow-up procedure.
- Research suspended/pending claims and transfer information to the payer.
- Prepare reports for payers on large volumes of outstanding claims.
- Report collection efforts and issues for high-dollar accounts to management at monthly meetings.
- Process third-party vouchers and verify accuracy and timeliness of payment.
- Reconcile managed care payments to the explanation of benefits to determine patients' responsibility and perform comparisons to managed care contracts for accuracy.
- Initiate aging reports by financial class to identify problematic areas and accelerate cash flow.
- Resubmit claims to payers via hard copy, fax, or electronic medium.
- Contact physician offices and/or patients and other hospital departments to secure necessary information for claim processing.
- Perform other duties and/or projects as assigned.
Qualifications:
- High school diploma or equivalent required.
- Minimum 1+ years of experience in revenue cycle or equivalent experience.
- Strong written and verbal communication skills.
- Detail-oriented and organized.
- Demonstrated computer literacy.
Preferred Qualifications:
- Some post-secondary education.
- Knowledge of EPIC.
- Experience with Google applications.
What We Offer:
At Hackensack Meridian Health, we offer a competitive benefits package, a collaborative work environment, and opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.