Patient Financial Services Representative

3 weeks ago


Morris Plains, New Jersey, United States Atlantic Health System Full time
Job Description

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.
Qualifications

Required:

  • High school diploma or equivalent.
About Us

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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