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Third Party Follow-Up Specialist
4 weeks ago
About the Role
Hackensack Meridian Health is seeking a highly skilled 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 calling insurance payers, where applicable.
Key Responsibilities
- Perform account analysis to determine the required follow-up procedure.
- Research suspended/pending claims and transfer information to the payer.
- Prepare reports for payers for large volumes of outstanding claims.
- Report collection efforts/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 (referrals, notifications, pre-authorizations, and any other required documentation for the payer) to process claims.
- 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), and/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.
Our Network
Hackensack Meridian Health is a Mandatory Influenza Vaccination Facility.
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
