• Medical Insurance Billing and Accounts Receivable Representative

    Job ID
    2018-23506
    Employment Type
    full-time
    Hours Per Week
    40.00
    Onsite Work Schedule Details
    M-F 11-7
    Address
    1 Route 17 South
    City
    Saddle River
    State
    NJ
  • Overview

    The Patient Account Representative, Billing and A/R bills patient accounts to the appropriate government or commercial healthcare insurance company for payment and ensures the timely collection of insurance receivables.

    Responsibilities

    • Follow up on all claims from billing through final resolution. 
    • Review and prepare claims for manual and/or electronic billing submission.
    • Identify billing errors for correction and resubmit claims to insurance carriers.
    • Follow up on payment errors, low reimbursement, denials, etc.
    • Review insurance EOB’s and initiates appeals as necessary.
    • Print and mail UB04s or HCFA 1500s as necessary for account resolution.
    • Act cooperatively and responsibly with patients, visitors, co-workers, management and clients.
    • Keep current with all commercial and managed care pricing models, rules and regulations.
    • Keep current with all Medicare and Medicaid rules and regulations.
    • Maintain strict confidentiality in accordance with HIPAA regulations and company policy.

    Qualifications

    • 2+ years of experience in healthcare insurance billing and accounts receivable follow up, working directly with government or commercial insurance payers.
    • 2+ years of experience with claims management software.
    • Demonstrated experience ensuring accurate billing by reviewing UB04 and 1500 forms for accuracy and resolving errors as required.
    • Proficiency with MS Excel, MS Word and MS Outlook.
    • Demonstrated success working both individually and in a team environment.

    Preferred Skills

    • Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian or STAR.

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.

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