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Third Party Follow-Up Specialist

2 months ago

Hackensack New Jersey, United States Hackensack Meridian Health Full time
About the Role

At Hackensack Meridian Health, we are committed to delivering exceptional patient care and service. As a Third Party Follow-Up Specialist, you will play a critical role in ensuring that our patients receive timely and accurate billing and payment for their medical services.

Key Responsibilities
  • Perform thorough analysis of unpaid third-party accounts to identify required follow-up procedures.
  • Research suspended or pending claims and transfer information to the payer.
  • Prepare and submit reports to payers for large volumes of outstanding claims.
  • Identify and report collection efforts and issues for high-dollar accounts to management.
  • 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.
  • Communicate with physician offices, patients, and other hospital departments to secure necessary information for claim processing.
Requirements
  • High school diploma or equivalent.
  • Minimum 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.