Patient Accounts Representative, Appeals, Remote, NJ

at  RWJBarnabas Health

Req #: 0000186381
Category: No Category Assigned
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Appeals

JOB SUMMARY:

The Patient Accounts Representative position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their care, correspondence response, billing and re-billing, certain denial issues, prompt handling of A/R credits and trend monitoring.

JOB REQUIREMENTS:

• High School Diploma
• 1-2 years experience in Healthcare collections, with a focus on appeals
• Strong knowledge of Patient Accounting systems
• Strong knowledge of Healthcare contracts
• Must be able to work in a team environment that requires quick turnaround and quality output

ESSENTIAL FUNCTIONS:

• Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations.
• Facilitate account resolution by submitting appeals. Accurately identify follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on a job-specific priority matrix.
• Timely identify, research, and resolves any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments.

OTHER DUTIES AS ASSIGNED

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.