Patient Financial Services Representative
4 days ago
As a Patient Financial Services Representative at Atlantic Health System, you will play a critical role in managing assigned accounts receivable and collecting outstanding balances from patients and third parties for durable medical equipment claims. Your responsibilities will include:
Key Responsibilities- Reviewing AR reports to prioritize work based on age and balance of accounts to avoid timely filing denials.
- Reviewing correspondence and EOBS, taking appropriate action, and maintaining a follow-up system to ensure accounts are brought to conclusion in a timely manner.
- Submitting appeals and corrected claims as necessary, preparing and submitting payor projects, and maintaining open communication with patients to keep them informed of any issues with their claims.
- Requesting necessary information from patients and physicians to expedite claim processing, negotiating prompt pay discounts, and requesting adjustments, transfers, and reversals with proper justification.
- Identifying accounts that need to be sent to collections in a timely manner and communicating payor trends to management.
- Maintaining a working knowledge of DME medical policies and performing all other duties as deemed necessary.
Required:
- High school diploma or equivalent.
Atlantic Health System is a leading healthcare organization with a workforce of over 18,000 team members and 4,800 affiliated physicians. We offer a range of services, including cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health, and rehabilitation medicine. Our mission is to build healthier communities and provide exceptional patient care.
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