Main functions:

Responsible for the timely submission of technical or professional medical claims to insurance companies The position may be located in physician offices in Eatontown. Meets with patients to review coverage, benefits and affordable payment options. Prepares departmental reports in a timely manner.

Reports to : Executive Director

Duties:

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Assist with patient interviewing and any required pre-certifications; Benefits verification
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
• Maintains bad-debt cost report by tracking billings; monitoring collections; compiling information. • Reviews accounts for possible assignment and makes recommendations to the Practice, also prepares information for the collection agency.
• Protects practice’s value by keeping collection information confidential.
• Updates job knowledge by participating in educational opportunities.
• Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, and ethical standards.
• Accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Skills/Experience:
• Knowledge of medical billing/collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party (insurance) operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients & employees
• Must be well organized and detail-oriented.

Environment Working Conditions & Physical Demands

• Normal office environment; Occasional overtime may be required and/or hours may vary. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines and high level requirements. Responsibilities, skills and working conditions may change as needs evolve. Specialized training from a certificate program or comparable years of experience in the industry or related area.

Job Type: Full-time

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Work Location: In person

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