Patient Accounts Representative

Job Title: Patient Accounts Rep

Location: System Business Office

Department Name: Patient Accounts

Req #: 0000218976

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 Account Representative is responsible for managing and resolving all aspects of the patient billing process . This includes billing insurance companies, following up on outstanding claims, collecting payments from patients, responding to patient inquiries, and maintaining accurate account records. The role is essential in ensuring timely revenue collection, maintaining patient satisfaction, and supporting the financial health of the organization. The 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 hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits and trend monitoring.

Qualifications:

Required:

• High School Diploma
• Proficient in Microsoft Office, Excel, Outlook, Word,
• Excellent communication and interpersonal skills
• Ability to prioritize tasks, manage time effectively, and handle sensitive information with discretion.

Preferred:

• Preferred 1-2 years in healthcare insurance billing or account follow-up; strong knowledge of Patient Accounting systems
• Strong knowledge of medical billing software, Epic, Cerner, Athena, Meditech.
• Familiarity with ICD10, CPT, HCPCS coding and healthcare reimbursement methods.

Scheduling Requirements:

• Full-Time, Day shift
• 37.5 hours per week
• 5 days a week on-site at Oceanport, NJ

Essential Functions:

• Takes actions that will support maximization of collection of balances due or account resolution from all sources.
• Meets Quality and Productivity expectations.
• Facilitate account resolution.
• 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 job specific priority matrix.
• Timely identify, research, and resolution any issues that may cause delays in payment or account resolution.
• Identify and recommend opportunities to improve collections and follow-up activities.
• Works collaboratively across teams, with peers, and revenue cycle departments.
• When asked, performs other duties as assigned to support revenue cycle operations.

Billing and Claims Processing

• Prepare, review, and submit accurate insurance claims, electronic and paper, in a timely manner.
• Verify insurance eligibility and benefits prior to billing,
• Ensure compliance with payer requirements, CPTICD 10 coding standards, and billing regulations.

Accounts Receivable and Collections

• Monitor aging reports and follow up on unpaid or denied claims with insurance payers.
• Post insurance and patient payments accurately, including adjustments and write-offs.
• Initiate appeals and re-submissions for denied or underpaid claims.
• Contact patients regarding outstanding balances and arrange payment plans when necessary.

Customer Service

• Respond promptly and professionally to inquiries from patients regarding their accounts.
• Educate patients on billing processes, insurance coverage, and financial assistance options.
• Maintain a high level of customer service and ensure patient confidentiality at all times.

Documentation and Reporting

• Maintain accurate and complete records of all patient account activity in the billing system.
• Document all communication and actions related to account resolution.
• Generate and analyze reports related to billing, collections, and aging accounts.

Compliance and Quality Assurance

• Stay updated on healthcare billing regulations, HIPAA compliance, and payer policies.
• Participate in audits, training sessions, and process improvement initiatives.
• Identify trends and recurring issues to recommend operational improvements.

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

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RWJBarnabas Health is an Equal Opportunity Employer