Atlantic Health System is seeking a full-time Patient Financial Service Rep for AHSIC - AT HOME Medical at Corporate office.
Responsibilities include, but are not limited to: * Confirm delivery tickets ensure proof of delivery requirements are met. * Track and log receipt of delivery tickets from Operations and Professional Services. Communicate any delays with management. * Process back-orders. * Review tickets in Bill Review for accuracy; make necessary corrections to meet payer rules. * Bill claims in RTB. * Create rental claims and review for accuracy. * Manage compliance requirements for pap therapy to assure accurate billing. * Report system errors to management for correction (missing modifiers, pricing discrepancies). * Maintain CSR error log
* Review tickets in Bill Review for accuracy and audit medical records to verify medical policy requirements are met. * Verifies modifiers are in place in accordance with the individual payor requirements and communicates any errors in the matrix. * Verifies pricing is accurate and communicates errors to assure pricing tables are accurate. * Verify the accuracy of orders created by CSRS and that all required demographic and order information is complete. * Verify insurance process has been followed and authorizations have been obtained as needed. * Regular telephone contact with patients/clients, discharge planners, physicians and their staff, and other referral sources. * Respond to problem situations, documenting the inquiry and responding in a timely and efficient manner. * Report system errors to management for correction (missing modifiers, - pricing discrepancies). * Must be able to qualify patients for equipment based on Medicare and insurance guidelines. * Facilitate communications with other departments by coordinating the delivery and setup of product and services. * Performs all other duties as required by the supervisor/manager. * Overtime may be required
High School Diploma or GED required
1-2 years previous healthcare billing experience preferred
Ability to read, interpret and apply medical policies and make informed decisions regarding coverage criteria
Proficent in Microsoft Office Suite- Ability to apply excel formulas
Excellent verbal and written communication skills
Must be organized and have the ability to work independently, identify and solve problems
Willingness to learn, attention to detail and good follow up skill
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.