Account Representative

5 days ago


Old Bridge, 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 our patients as it relates to their billing questions, both in person and by phone.
  • Advocate for patients when their claims are not paid properly.
  • Manage all insurance plans that require authorizations or referrals.
  • Provide billing education to staff and providers.
  • Responsible for all letters of medical necessity, record requests from insurance companies, and review denials and communications from our Medical Claims Exchange (MCX) as needed.
  • Run and review revenue cycle reports as necessary.
  • Communicate effectively and professionally with coworkers, insurance companies, management, and physician office staff.
  • Communicate trends or problems with payers.
  • Accurately record all transactions posted each day, and at the end of each month, forward the logs to the appropriate staff in finance.
  • Enter charges: All supplied charge information is entered into the computer system timely and accurately.
  • Insurance Knowledge: Knowledge of billing rules as they apply to specific payers, able to detect and report trends, account leads, and management.
  • Responsible for all account receivable.
  • Prepare bank deposits as directed by the practice manager.
  • Assist the office manager with clinical insurance requirements.
  • Post all medical record request fees.
  • Attend all 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 Ques daily.
  • Run all EPIC Revenue Cycle reports daily, weekly, and monthly.
  • Answer phones promptly, callbacks are done within 24 hours of receiving messages. All written or verbal communication with patients, insurance companies, and office staff is documented in the medical record.
  • Cross-trained and used to backfill a Medical Receptionist whenever needed.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.

Qualifications:

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

Licenses and Certifications:

  • Certified Professional Coder.


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