Account Representative

1 day ago


Edison, New Jersey, United States Hackensack Meridian Health Full time
Job Title: Account Representative

About the Role:

We are seeking a highly skilled and detail-oriented Account Representative to join our team at Hackensack Meridian Health. As an Account Representative, you will play a critical role in ensuring the accuracy and completeness of all submissions for maximum reimbursement. Your primary responsibility will be to timely and accurately post all payments and adjustments, following appropriate procedures and workflows depending on our Electronic Health Record (EHR) system.

Key Responsibilities:

  • Liaison to patients regarding billing questions and concerns, both in person and via phone.
  • Advocate for patients when claims are not paid properly.
  • Manage all insurance plans requiring authorizations and referrals.
  • Provide billing education to staff and providers.
  • Responsible for all letters of medical necessity, record requests from insurance companies, and review of denials and communications from our Medical Claims Exchange (MCX) system.
  • Run and review revenue cycle reports as necessary.
  • Communicate effectively and professionally with coworkers, insurance companies, management, and physician office staff.
  • Identify and report trends or problems with payers.
  • Accurately record all transactions posted each day, with logs forwarded to finance staff at the end of each month.
  • Enter charges into our computer system in a timely and accurate manner.
  • Knowledge of billing rules as they apply to specific payers, with ability to detect and report trends, account leads, and management.
  • Responsible for all account receivable.
  • Prepare bank deposits as directed by practice manager.
  • Assist office manager with clinical insurance requirements.
  • Post all medical record request fees.
  • Attend revenue cycle meetings, front-end meetings, Epic update meetings, and all billing and coding inservices.
  • Disseminate all pertinent takeaways to staff and providers as needed.
  • Responsible for working Epic Work Que's daily.
  • Run all EPIC Revenue Cycle reports daily, weekly, and monthly.
  • Answer phones promptly, with callbacks made within 24 hours of receiving messages.
  • Document all written or verbal communication with patients, insurance companies, and office staff in the medical record.
  • Cross-trained and able to backfill a Medical Receptionist as needed.
  • Perform other duties and/or projects as assigned.
  • Adhere to HMH Organizational competencies and standards of behavior.

Qualifications:

  • High School diploma, general equivalency diploma (GED), or GED equivalent programs.
  • Prior billing knowledge.
  • Knowledge of ICD-10 and CPT codes to ensure accurate processing of claims and denials.


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