Patient Accounts Rep, Appeals

Job Title: Patient Accounts Rep

Location: Remote

Department Name: Patient Accounts

Req #: 0000217031

Status: Hourly

Shift: Day

Pay Range: $20.60 - $25.84 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Patient Accounts Representative position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their care, correspondence response, billing and re-billing, certain denial issues, prompt handling of A/R credits and trend monitoring.

Qualifications:

Required:

• HS diploma or GED equivalent
• 1 2 years of experience in healthcare collections, with a focus on appeals and denials management
• Strong knowledge of hospital billing processes and patient accounting systems
• Familiarity with healthcare payer contracts, appeal procedures, and denial resolution.
• Ability to work independently and in a team environment, delivering timely, accurate, and quality outcomes.
• Strong organizational, communication, and problem-solving skills.

Preferred:

• Associate or Bachelor’s Degree preferred
• Strong knowledge of medical billing software, Epic, Cerner, Athena, Meditech.

Scheduling Requirements:

• Full-Time, Hourly position– 37.5 hours a week

Essential Functions:

• Take actions that will support maximization of collection of balances due or account resolution from all sources. Meets Quality and Productivity expectations.
• Facilitate account resolution by submitting appeals. Accurately identify follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and/or insurance carriers. Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on a job-specific priority matrix.
• Timely identify, research, and resolves any issues that may cause delays in payment or account resolution. Identify and recommend opportunities to improve collections and follow-up activities
• Work collaboratively across teams, with peers, and revenue cycle departments.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

#LI-BM1

RWJBarnabas Health is an Equal Opportunity Employer