Apply on Employer Site

Bergen New Bridge Medical Center · 1 day ago

PATIENT ACCOUNTS REP IN PATIENT FINANCIAL SERVICES FULL-TIME DAY SHIFT 22741

Paramus, New Jersey, United States

Full-time

Onsite

Entry Level

$20.89/hr - $20.89/hr

1+ years exp

Bergen New Bridge Medical Center is a leading healthcare provider dedicated to high-quality, compassionate care. They are seeking a Patient Accounts Representative to manage medical billing procedures, edit claims, and ensure accurate billing data while collaborating with various departments.

EventsHealth CareHospitalNon ProfitRehabilitation

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, objective

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

Performs other related duties as required

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

Qualification

Medical billing proceduresComputerized billing knowledgeExcelWordTyping 25 WPMCommunication skillsInterpersonal skillsTime managementOrganizational skills