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

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Billing & Insurance Specialist