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Job ID / Title:
Contract Medical Collections Specialist
Job Category:
Customer Service Internet
City:
Clifton
State:
NJ
Work Location:
Brighton Road

Job Description


AR Billing Representative 


Position Summary:  

The AR Billing Representative is responsible for assisting the provider with collection of payments due for the hospital service from the payer and/or patient. The ideal candidate should have 2-3 years of reimbursement experience in a hospital or provider setting. The candidate should be organized, punctual and detail oriented, with a strong knowledge of Medicare regulations and provisions along with knowledge with ICD9, ICD10 and CPT codes.  Excellent follow-up and troubleshooting skills are required.  


DUTIES AND RESPONSIBILITIES

  • Follow up on all commercial payer claims from billing through final resolution
  • Review and prepare claims for electronic billing submission 
  • Identify billing errors for correction and resubmit via adjustment or new submission 
  • Review and advise for payment errors, rejection and denials 
  • Initiate appeals 
  • Keep current with regulations and procedures 
  • Communicate issues that are prohibiting claim adjudication to management for resolution 
  • Act cooperatively and responsibly with co-workers, management and clients 
  • Maintain a professional attitude 
  • Maintain confidentiality, at all, times 
  • Flexible to departmental and client changes  

Qualifications

KNOWLEDGE AND SKILLS 

  • 2-3 years experience in Medical Collections.
  • Strong computer skills in medical billing systems 
  • Ability to work well in a team environment 
  • Strong communication skills 
  • Working knowledge of EPIC a plus 
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