Patient Financial Services Representative, Full Time (8a-4p), Morristown, NJ
About The Position
The Patient Financial Services Representative supports management by investigating denied or underpaid inpatient and outpatient claims. The role reviews explanation of benefits (EOBs), medical records, and account notes to determine denial reasons; coordinates written appeals with appropriate departments or vendors; and follows up with insurers on appeal status. The representative identifies recurring denial issues, collaborates with billing and clinical teams on process improvements, maintains accurate records of denial and appeal activity, records outcomes and adjusts balances in Epic, and reconciles vendor invoices. The position is full time, scheduled from 8 a.m. to 4 p.m., in Morristown, New Jersey.
Requirements
- High school diploma.
- Ability to analyze complex data, identify trends, and make informed decisions.
- Strong written and verbal communication skills for working with internal and external stakeholders.
- Critical-thinking and problem-solving skills to address complex denial reasons.
- Ability to manage a large caseload, prioritize tasks, and meet deadlines.
- Meticulous attention to detail and accurate documentation.
- Familiarity with payer guidelines, payer portals, and the claims process.
- Ability to work independently and collaboratively with cross-functional teams.
Responsibilities
- Investigate denied or underpaid claims by reviewing EOBs, medical records, and account notes to determine denial reasons.
- Forward denied encounters to the appropriate department or vendor for written appeal, with supporting documentation and rationale.
- Print and mail appeals.
- Follow up with insurance companies about appeal status and provide additional information as needed.
- Identify root causes and recurring denial issues and report them to management.
- Collaborate with billing, clinical staff, and other teams on process improvements to reduce avoidable denials.
- Maintain detailed, accurate records of denial and appeal activities, including communications and actions taken.
- Record outcomes and adjust account balances in Epic.
- Reconcile vendor invoices.
Benefits
- Medical, dental, vision, and prescription coverage for eligible team members working 22.5 hours per week or above.
- Life and AD&D insurance.
- Short-term and long-term disability, with options to supplement.
- 403(b) retirement plan with employer match and additional non-elective contribution.
- PTO and paid sick leave.
- Tuition assistance, advancement support, and academic advising.
- Parental, adoption, and surrogacy leave.
- Backup and on-site childcare.
- Well-being rewards.
- Employee Assistance Program (EAP).
- Fertility benefits and Healthy Pregnancy Program.
- Flexible spending and commuter accounts.
- Pet, home, auto, identity theft, and legal insurance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
