Billing Specialist

2 weeks ago


Lowell, Massachusetts, United States Hackensack Meridian Health Full time

Overview

At Hackensack Meridian Health, our workforce is integral to our mission of enhancing patient care and fostering a supportive environment. We prioritize collaboration and connection among our team members, ensuring that everyone contributes to our shared goal of improving healthcare outcomes.

The Account Representative plays a crucial role in managing billing processes and overseeing Revenue Cycle follow-up. This position is essential for guaranteeing the precision and thoroughness of all billing submissions to maximize reimbursement. The representative is also responsible for the prompt and accurate posting of payments and adjustments, adhering to established procedures based on the Electronic Health Record (EHR) system.

Key Responsibilities

A typical day for an Account Representative at Hackensack Meridian Health involves:

  • Acting as a point of contact for patients regarding their billing inquiries, both in person and via phone.
  • Advocating for patients to ensure proper payment of their claims.
  • Managing insurance plans that require authorizations and referrals.
  • Providing billing education to colleagues and healthcare providers.
  • Handling all requests for letters of medical necessity and record retrieval from insurance entities.
  • Reviewing denial letters and communications from relevant parties as necessary.
  • Generating and analyzing revenue cycle reports as needed.
  • Maintaining effective and professional communication with coworkers, insurance representatives, management, and medical office staff.
  • Identifying and reporting trends or issues with payers.
  • Accurately documenting all transactions on a daily basis, with monthly logs submitted to the finance department.
  • Timely and accurately entering charge information into the computer system.
  • Possessing knowledge of billing regulations applicable to specific payers, and being able to identify and report trends.
  • Overseeing all accounts receivable processes.
  • Preparing bank deposits as directed by the practice manager.
  • Assisting the office manager with clinical insurance requirements.
  • Posting fees for all medical record requests.
  • Participating in all revenue cycle meetings and training sessions related to billing and coding.
  • Disseminating important information to staff and providers as necessary.
  • Managing daily tasks within Epic Work Queues.
  • Running and reviewing all EPIC Revenue Cycle reports on a daily, weekly, and monthly basis.
  • Answering phone calls promptly and ensuring callbacks are made within 24 hours. Documenting all communications with patients, insurance companies, and office staff in the medical record.
  • Being cross-trained to support the Medical Receptionist role as needed.
  • Performing additional duties and projects as assigned.
  • Adhering to organizational competencies and standards of behavior.

Qualifications

Required Education, Knowledge, Skills, and Abilities:

  • High School diploma or equivalent.
  • Prior experience in billing is preferred.
  • Familiarity with ICD-10 and CPT coding to ensure accurate claims processing and denial management.

If you believe that your skills align with the requirements outlined above, we encourage you to consider this opportunity.


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