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Date Added: Mon 31/05/2021

Accounts Receivable Representative - Home Infusion

Parsippany, NJ, US
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Company: JERSEY STAFFING SOLUTIONS, LLC

Job Type: Permanent, FullTime

Job Description
Position: Accounts Receivable Representative - Home Infusion/Specialty Pharma  

Position Type: Contract to Perm

Location: Parsippany, NJ 

Hours:  Business Hours (Monday-Friday)

 

An immediate opening for an Accounts Receivable Representative who will be responsible for account follow up, billing and allowance posting and collections on the accounts assigned to them.  The ideal candidate will have a background with home infusion or specialty pharma insurance collections.  

 

What experience we are looking for:


  • 3+ years' experience in Home Infusion and/or Specialty Pharmacy insurance collections, including submitting and following up on claims of medical billing work experience
  • Medical billing experience: 2 years
  • Physician Billing experience: 1 year
  • Previous experience in Home Infusion and/or Specialty Pharmacy billing required
  • Knowledge of CPT and ICD-9/10-CM coding
  • Ability to work well individually and in a team environment
  • Proficiency with MS Office
  • Strong oral/written communication skills
  • Strong organizational skills
What you will be doing:

 

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
  • Meets and maintains daily productivity standards established in departmental policies
  • Meets and maintains quality standards established in departmental policies
  • Uses the MPower workflow system, client host systems and other tools available to them to collect payments and resolve accounts
  • Adheres to the policies and procedures established for the client/team
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies 
  • Perform special projects and other duties as needed.   Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
  • Identify and report underpayments and denial trends
  • Initiate appeals when necessary
  • Basic knowledge of healthcare claims processing including: ICD-9/10, CPT, HCPC codes as well as 1500 forms
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Meets and maintains daily productivity and quality standards established in departmental policies
  • Act professionally, cooperatively and courteously with patients, insurance payors, co-workers, management and clients
  • Perform special projects and other duties as needed by the management team.  
  • Maintain confidentiality at all times
  • Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.  Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • Other duties as assigned by the management team
 

 

Jersey Staffing and our Client are Equal Opportunity Employers.

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