Account Representative - Multispecialty - Physician Practice

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health, we help our patients live better, healthier lives and support one another to succeed. Our employees are team members, and we provide competitive benefits beyond that.

Responsibilities

• Liaison to patients regarding billing questions, both in person and by phone.
• Advocates for patients when their claims are not paid properly.
• Manages all insurance plans needing authorizations or referrals.
• Provides billing education to staff and providers.
• Responsible for all letters of medical necessity and record requests from insurance companies.
• Reviews denials and communications from MCX as needed.
• Runs and reviews revenue cycle reports as necessary.
• Communicates effectively and professionally with co-workers, insurance companies, management, and physician office staff.
• Communicates trends or problems with payers.
• Accurately records all transactions posted each day. Logs are forwarded to appropriate staff in finance at the end of each month.
• Enters charges: All supplied charge information is entered into the computer system timely and accurately.
• Knowledge of billing rules as they apply to specific payers, able to detect and report trends, account leads, and management.
• Responsible for all accounts receivable.
• Prepares bank deposits as directed by the practice manager.
• Assists the office manager with clinical insurance requirements.
• Posts all medical record request fees.
• Attends all revenue cycle meetings, front-end meetings, Epic update meetings, and all billing and coding inservices.
• Disseminates all pertinent takeaways to staff and providers as needed.
• Works Epic Work Que's daily.
• Runs all Epic Revenue Cycle reports daily, weekly, and monthly.
• Answers 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 claims and denials.
• Licenses and Certifications Preferred: Certified Professional Coder.

Compensation

The minimum rate of $20.64 per hour is a reasonable good faith estimate of the minimum base pay for this role at the time of posting. The posted rate of pay does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network: Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility.

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