Atlantic Health System is seeking a Patient Financial Services Representative to work Monday-Friday 8:30am-5:00pm.
Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:
Review AR reports.
Prioritize work based on age and balance of accounts to avoid timely filing denials.
Review correspondence and EOBS and take appropriate action.
Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.
Submit appeals and corrected claims as necessary.
Prepare and submit payer projects.
Maintain open communication with patients to keep them informed of any issues with their claims.
Request necessary information from patients and physicians to expedite claim processing.
Negotiate prompt pay discounts.
Request adjustments, transfers and reversals with the proper justification.
Identify accounts that need to be sent to collections in a timely manner.
Communicate payer trends to management.
Working knowledge of DME medical policies.
All other duties as deemed necessary.
High School Diploma or GED required
Must be proficient in MS Office Suite
Must be organized and have the ability to work independently, identify and solve problems.
Excellent communication skills
Must possess a minimum of 1 year billing/collections experience in the medical field.
Ability to read, interpret and apply medical policies.
Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune's 'Top 100 Best U.S. Companies to Work For' list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.