Medical AR Representative job Neptune City New Jersey
Medical AR Representative job Neptune City New Jersey
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Medical AR Representative Job

Employer Name: SpiderID: 9485277
Location: Neptune City, New Jersey Date Posted: 3/20/2020
Wage: $16 - $18 per hour Category: Healthcare
Job Code: 362535

Job Description:

Medical Billing Representative

Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.

Duties and responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites

  • Meets and maintains daily productivity/quality standards established in departmental policies

  • Meets and maintains quality standards established in departmental policies

  • Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts

  • Adheres to the policies and procedures established for the client/team

  • Knowledge of timely filing deadlines for each designated payer

  • Initiate appeals when necessary

  • Ability to identify and correct medical billing errors

  • Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process

  • Ability to analyze, identify and resolve issues causing payer payment delays

  • Ability to analyze, identify and trend claims issues to proactively reduce denials

  • Understanding of under payments and credit balance process

  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results

  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients

  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

  • Work independently from assigned work queues

  • Maintain confidentiality at all times

  • Maintain a professional attitude

  • Other duties as assigned by the management team


  • 2 years' experience in insurance collections, including submitting and following up on claims for a Medical Practice, Ambulatory Surgical Center, Hospital and/or other Medical Facility/Medical Billing Company

  • Physician/Professional Billing: 1 year

  • Knowledge of the denied claims appeals process

  • Knowledge of Worker's Comp and PIP

  • Previous experience in Hospital/Facility or Physician billing

  • Extensive knowledge of individual payor websites, including Navinet and Novitasphere

  • Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes

  • Ability to work well individually and in a team environment

  • Proficiency with MS Office. Must have basic Excel skillset

  • Experience with GE Centricity or EPIC PB preferred

  • Experience with EClinical Works (ECW) preferred

  • Strong communication skills/oral and written

  • Strong organizational skills

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Contact Information:
Contact Name: SNI Financial Company Type:
Company: SNI Financial

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