Billing Clerk, Long Term Care - Full Time
Hackensack Meridian Health•Eatontown, NJ
•Onsite
About The Position
Responsible for long-term care pharmacy billing functions as assigned by the Billing Manager. Will work as a liaison with long term care facility customers to address concerns with monthly invoices or with resident's bills.
Requirements
- High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
- Minimum of one (1) year of medical billing/collections experience
- Excellent customer service and phone skills.
Nice To Haves
- Minimum of two (2) years of experience with Framework LTC
- Long-term care experience
- GSuite (Docs, Sheets, and GMail) proficiency
Responsibilities
- Communication with customer facilities to establish new and revised patient billing status information.
- Entry of and maintenance of patient billing status in Framework LTC pharmacy system.
- Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy system.
- Skilled Nursing Facility, Assisted Living Facility and Private pay claim billing
- Troubleshoot rejected insurance claims resulting in payments
- Prior Authorizations required from Third Party Insurance
- Bill/Invoice Review
- Medicaid Pending Status Review
- Updated Skilled Nursing Facility Census and Resident Payer Status
- Process Private Pay refunds
- Collections on accounts
- Process Credits/Returns
- Projects as needed
- Customer Service orientated (external and internal)
Benefits
- health
- dental
- vision
- paid leave
- tuition reimbursement
- retirement benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
