Medical Billing Resolution Expert

6 days ago


Secaucus, New Jersey, United States Hudson Regional Hospital Full time
About the Job

We are seeking a highly skilled Medical Billing Resolution Expert to join our team at Hudson Regional Hospital.

The successful candidate will be responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts.

Salary: $65,000 - $85,000 per year

About the Role:

  • Claim Follow-up: Monitor the progress of insurance claims from submission to payment, identify and resolve claim denials, rejections, and delays, and follow up with insurance carriers to expedite claim payments.
  • Error Correction: Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors, make necessary corrections in the billing system to ensure accurate claims.
  • Medicare Claims: Process Medicare RTP claims and denial reports on a daily basis and ensure timely and accurate submission of Medicare credit balance quarterly reports.
  • Account Resolution: Research outstanding accounts and take appropriate action to secure prompt payment, analyze system-generated reports to identify accounts requiring research, document all resolution activities in the appropriate system and log, and alert supervisors or managers of non-payment trends.
  • Contractual Allowance: Research partial payments to determine if the appropriate contractual allowance was calculated, initiate corrective action for miscalculated allowances, including collaboration with clinical departments, document results, and alert supervisors or managers of trends.
  • Rejected and Denied Services: Research rejected or denied services and determine corrective action, complete corrective action using departmental procedures and policies, document results, and alert supervisors or managers of non-payment trends.
  • Reporting: Complete productivity reports and submit to supervisors within the established timeframe.
  • Customer Service and Performance Improvement: Support the department's customer service and performance improvement goals, collaborate with other staff to enhance patient care and service, maintain strict confidentiality of patient information.


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