Patient Accounts Rep

Patient Accounts Rep Location: System Business Office Department: Patient Accounts Requirement Number: 0000252139 Pay Range: $21.07 - $26.22 per hour 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. NJ Medicaid knowledge 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. Physician Billing experience Scheduling Requirements Full-Time, Day shift 37.5 hours per week Travel to Oceanport, NJ as needed Essential Functions Takes actions that 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 resolve 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, CPT/ICD10 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 resubmissions 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 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! RWJBarnabas Health is an Equal Opportunity Employer. #J-18808-Ljbffr RWJBarnabas Health