Customer Service and Billing Rep-FT-Home Care-DME- Eatontown

Job Title

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Responsibilities

Responsible for all functions of order taking, computer entry of orders, medical documentation, insurance verification, authorization, and billing as well as office support services within the business line. Assist customers in the completion of appropriate forms and/or paperwork and in interpreting insurance/financial data.

• Receive incoming telephone calls from customers and/or referral sources requesting services. Answer telephone according to standard operating procedures and policies. Assure that calls are answered as quickly as possible and with the proper intake greeting utilizing customer service skills at all times.
• Process referral source requests and analyze the computer data of customer`s basic information to determine appropriate course of action for completing paperwork. Enter data in the computer system and obtain missing information. Assure that medical data is processed and accurately analyzed in a timely manner in accordance with billing standards and payor guidelines. Maximize reimbursement through accurate order entry/submission billing.
• Assist customers with obtaining and/or the completion of required medical documentation or other paperwork. Collect data and appropriate information for patient`s file. Assure that customers are given complete and accurate information, and assure the information is communicated to the customer in a clear and concise manner. Assure that questions are answered or directed to the appropriate source.
• Provide information to referral sources regarding programs and services available to meet customer`s needs. Communicate the specific needs of the client and the available service to the appropriate source. Answer all questions correctly and utilize intake resources when needed to assure information is correct.
• Provide assistance and guidance to customers. Investigate and resolve discrepancies. Interact with customers in a courteous and compassionate manner. Assist in the handling of customer`s financial matters (i.e., insurance coverage or not) and make arrangements for payment. Assure that customers are contacted and notified of financial responsibility and that financial matters are resolved in a timely and appropriate manner.
• Demonstrate the ability to obtain insurance verifications and authorizations utilizing on-line or by phone when required. Has current knowledge of Medicare reimbursement criteria and insurance contracts for Hackensack Meridian Health product lines. Demonstrate use of customer service skills to network with insurance payor case managers to assure ease of referrals for services when requested. Obtain complete and accurate verifications of patient`s insurance benefits. Works with insurance payor to obtain all authorizations as necessary.
• Assist other staff members as needed, by completing various tasks as requested (i.e., coordinates deliveries/pickups with Patient Service Techs). Assure that tasks are completed in an accurate and timely manner.
• Coordinate work to achieve maximum productivity and efficiency. Consistently demonstrates the ability to organize the workday and recognize and establish priorities to make maximum use of downtime.
• Review and confirm all deliveries. Review all open orders on a daily basis. Run Open Order report daily to confirm there are no missing orders.
• Review and process medical/financial data to ensure accuracy. Assure that all medical/financial data is processed and analyzed accurately and timely.
• Process billing edits/releases. Perform billing data entry and review. Run Hold Report weekly and compare to previous reports for accuracy. Assure that claims on Hold Report are corrected timely with total on hold revenue < 15% of previous months Net Sales.
• Provide phone support, relay messages to the appropriate party and take messages as needed. Assure that phone is answered in a courteous manner and that accurate and complete phone messages are taken.
• Provide clerical support as needed, make copies, file. Assure that copies, filing, correspondence by mail or fax is completed as per work requested.
• Respond to correspondence and voice mail on a consistent basis. Assure that correspondence and voice mail are resolved daily and in a timely manner.
• Assist Accounts Manager as necessary. Show a willingness to help others in the office to meet the challenges of operations on a regular basis.
• Complete other duties as assigned and demonstrate flexibility with job responsibilities in all areas.
• Adheres to HMH`s Organizational competencies and standards of behavior.
• Lifts a minimum of 10 lbs., pushes and pulls a minimum of 10 lbs. and stands a minimum of 2 hours a day.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Proficient in Microsoft Office Suite
• Strong Customer Service Skills

Education, Knowledge, Skills and Abilities Preferred:

• DME Experience
• Two (2) Years Healthcare Experience
• Associates degree or higher

Compensation Minimum rate of $23.13 Hourly HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.