A dynamic and growing pathology company located in Ramsey, NJ is looking for new team member for their Revenue Cycle Management Department.
The position is temporary to permanent and a great opportunity to grow your career!
Job Summary:
Responsible for ensuring claims are accurately submitted, resolving discrepancies and following up with insurance companies and patients to ensure timely payment of medical claims.
Position is Temporary to Permanent - client is
Duties/Responsibilities:
- Navigate claim submission and payee websites/portals to resolve filing issues and research status of payments.
- Speak with insurance companies to research denials and/or improper reimbursement.
- Apply payer requirements for submission of reconsiderations, appeals, medical records, etc.
- Communicate with patients and clients to facilitate claim adjudication and payment.
- Maintain knowledge of coverage policies and medical necessity requirements of insurance carriers.
- Research and resolve billing issues raised by patients.
- Prepare, review and send patient statements.
- Process patient credit card payments.
- Perform patient collection actions via email, mail, and phone in adherence to legal and regulatory requirements.
- Process financial assistance applications.
- Establish installment agreements within the billing system.
- Troubleshoot and resolve issues within the billing applications.
- Monitor and report status of delinquent accounts.
- Work closely with co-workers and management to analyze data and identify issues or trends.
- Prepare cases to be sent for outside collections efforts.
- Conduct business in a responsible manner that complies with all state and federal regulations applicable to laboratory services and medical billing.
- Other duties as assigned.
Required Skills/Abilities:
- Knowledge of payer applications (e.g., CMS and commercial payers)
- Knowledge of CMS and commercial payer coverage policies
- Knowledge of Microsoft Office Suite
- Excellent written and verbal communication skills.
- Excellent organizational and time management skills.
Education and Experience:
- High school diploma or equivalent required.
- 3 years or more in a similar role required
- Laboratory experience preferred
- Laboratory billing experience preferred; knowledge of TELCOR a plus
- TELCOR experience preferred
