Oncology and Specialty Infusion Accounts Receivable Specialist

1 day ago

Princeton, New Jersey, United States Princeton Medical Group Full time
{"title": "Oncology and Specialty Infusion Accounts Receivable Representative", "description": "Job Summary

We are seeking a highly skilled and detail-oriented Oncology and Specialty Infusion Accounts Receivable Representative to join our team at Princeton Medical Group. As a key member of our clinical operations, you will be responsible for managing all facets of accounts receivable, including charge entry, payment posting, customer service, and follow-up in accordance with practice protocol.

Responsibilities
  • Responsible for reviewing physician coding to ensure accuracy, timely payments, and maximize revenue.
  • Strict adherence to write-off policies, refund policies, and other accounts receivable policies.
  • Providing information pertaining to billing, coding, managed care networks, insurance carriers, and reimbursement to manager.
  • Processing refunds to insurance companies and patients in accordance with practice protocol.
  • Monitoring reimbursement and policy changes from managed care networks and insurance carriers to ensure reimbursement consistent with contractual rates.
Requirements
  • Requires accounts receivable experience in a healthcare setting and knowledge of accounts receivable functions including CPT and ICD-10 coding, HCPCS, modifiers, coding, and documentation guidelines.
  • Requires strong working knowledge of managed care plans, insurance carriers, referrals, and precertification procedures.
  • General computer skills, typing skills, and a working knowledge of Medicare, Commercial Payer, and HIPAA Compliance.
  • Oncology and infusion billing experience (Preferred).
  • Proficiency with Availity, Navinet, and other payer websites for eligibility verification and claim status to efficiently conduct accounts receivable follow-up and to maximize revenue.
  • Requires an ability to prioritize multiple tasks simultaneously.
Work Environment

This is a full-time position in an office setting, Monday to Friday 8:30 AM - 5:00 PM, with flexibility to adapt to changing schedules and overtime as required.

Princeton Medical Group is an equal employment opportunities (EEO) employer and does not discriminate on the basis of race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression, national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

", "company": "Princeton Medical Group", "location": "Princeton, NJ"}

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