Patient Account Representative - Patient Financial Services- Per Diem Flexible Shifts - (27038P)

Bergen New Bridge Medical Center • Paramus, NJ

23h

About The Position

Join Our Team at New Bridge Medical Center! We are dedicated to providing high-quality, compassionate care to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive work environment. If you’re passionate about making a difference and thrive in a collaborative setting, New Bridge Medical Center is looking for a Patient Account Representative.

Requirements

• Minimum of 1 years’ experience in medical billing procedures, with familiarity with third party insurer regulations required.
• Typing: 25 WPM (tested)
• Must pass alphanumeric skills test
• Intermediate level computer skills required, including Excel and Word.
• Computerized billing knowledge essential
• Good Oral and Written communication skills
• Good interpersonal skills
• Speaks, reads and writes English to the extent required by the position.
• Ability to plan and utilize time management skills.
• Computer literate.
• Good organizational skills.
• High school graduation or equivalent required.

Responsibilities

• Edit failed claims in the Claims Administrator system and correct data, revising claim to a passed status for submission to payor for Primary, Secondary, Tertiary, etc.
• Where required, create multiple claims.
• If error was due to incorrect information on Paragon, then have revisions made to Paragon and then re-bill account.
• Alert department responsible for error to avoid errors in future.
• Review delinquent error reports, Unbilled Aged Trial Balances to identify reasons claims are held from billing.
• Satisfy those related to the Billing office.
• Communicate with the front-end departments, i.e.: Patient Access, Ancillary Departments, and Medical Records for edits related to the respective area.
• Monitor all related Paragon reports to identify claims requiring combination, sequential or interim billing.
• Monitor Late Charge reports daily for rebilling.
• Medicare Behavioral Health Inpatients– review available benefits to determine interim billing period.
• Charity Care – validate eligibility for service period.
• Ensure billing data is accurate for recurring account claims.
• Review Claims Administrator Reports daily, to monitor the following: Claims Imported, Claims Failed, Claims Not Imported, Edit Statistics (Reasons claims failed).
• Prepare and perform follow-up for special and client billing for various payors.
• Monitor responses from clearinghouse and payors to identify returned claims.
• Adjust claims accordingly, for resubmission to the payor.
• Review Aged Trial Balances for claims in billed status not yet paid.
• Perform follow-up actions where required.
• Manage receivables by exception.
• Follow-up on those not paid in accordance with expected reimbursement.
• Contact payor to discuss payment variances, submit adjustments where necessary.
• Prepare technical appeals where required.
• Refer accounts for clinical appeal where required.
• Analyze, identify and report areas of high-volume error, for enhanced automation opportunity in Paragon or Claims Administrator, or corrective actions in front end areas.
• Daily monitor and working of tickler system in Receivables Administrator to include the following: Work ticklers generated by system based on path assignments. Work ticklers assigned by Claims Management, Management Team and Self Pay teams for payor updates. Monitor follow-up on all accounts.
• Utilize Horizon Patient Folder to monitor and follow-up on hardcopy correspondence.
• Monitor and process all requests for Medical Record documentation.
• Monitor claims in Medicare FSS.
• Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.
• Promotes adherence to the Patient’s Bill of Rights.
• Understands and adheres to departmental policies and procedures.
• Adheres to the Medical Center’s Code of Conduct.
• Familiar with the Medical Center’s Mission, Vision and Value statements.
• Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.
• Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations.
• Attends required meetings.
• Assists in training of new and established employees.
• Performs other duties as assigned to support the overall objectives of the department and organization.

Benefits

• competitive medical, dental, and vision plans
• generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays
• robust tuition reimbursement and continuing education programs

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED