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Third Party Follow-Up Representative
2 months ago
About the Role
Hackensack Meridian Health is seeking a highly skilled and detail-oriented Third Party Follow-up Representative to join our team. As a key member of our revenue cycle team, you will be responsible for performing follow-up procedures on unpaid third-party accounts by accessing payer portals and contacting insurance payers, where applicable.
Key Responsibilities
- Perform account analysis to determine the required follow-up procedure.
- Research suspended or pending claims and transfer information to the payer.
- Prepare reports for payers for large volumes of outstanding claims.
- Report collection efforts and issues for high-dollar accounts to management at monthly meetings.
- Process third-party vouchers and verify accuracy and timeliness of payment.
- Reconcile managed care payments to the explanation of benefits to determine patients' responsibility and perform comparisons to managed care contracts for accuracy.
- Initiate aging reports by financial class to identify problematic areas and accelerate cash flow.
- Resubmit claims to payers via hard copy, fax, or electronic medium.
- Contact physician offices and/or patients and other hospital departments to secure necessary information for claim processing.
- Perform other duties and/or projects as assigned.
- Adhere to HMH organizational competencies and standards of behavior.
Requirements
- High school diploma, general equivalency diploma (GED), or GED equivalent programs.
- Minimum of 1+ years of experience in revenue cycle or equivalent experience.
- Strong written and verbal communication skills.
- Detail-oriented and organized.
- Demonstrated computer literacy.
Preferred Qualifications
- Some post-secondary education.
- Knowledge of EPIC.
- Experience with Google applications.
Licenses and Certifications
- Successfully pass completion of EPIC assessment within 30 days after network access granted.
