Accounts Receivable Representative

Location: 1 Kalisa Way, Paramus NJ On-site 40 hours M-F: 9:30am-5:30pm, potential for alternate Saturdays 8:30am-11:30am Salary: $52k What We Offer Generous Vacation, Personal, and Sick Time Competitive Hourly Wages and Premium Holiday Compensation 401K Plan and Tuition Reimbursement Employee Discount and Rewards Program Life & AD&D insurance; STD & LTD coverage Job Summary As an Accounts Receivable Specialist in our Finance Department, you will be responsible for meeting monthly collection goals by following established procedures and assisting with patient accounts and reimbursement. The role requires strong knowledge of NJ Medicaid and Medicare billing, collaboration with clinical and executive teams, and problem-solving for payment issues. Additional duties include auditing accounts, generating reports for management, and ensuring departmental objectives are met on time. What You Will Do Assist and maintain appropriate internal controls over accounts receivable Assist with and monitor accounts sent for collection and reimbursements from insurance companies and other third-party payers Review, monitor, and evaluate third party reimbursement compliance and research variances Keep abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations Process insurance payments to client accounts in computerized system Identify, track, and resolve payment discrepancies through claims adjustments. Verify benefit entries to ensure accuracy Submit appeal letters as needed Contact clients regarding outstanding balances Respond to client billing and statement inquiries Make recommendations to management for write-offs Use all Patient Accounting systems including Emdeon, MyEvolv, Navinet to research billing issues Perform clerical functions; Xeroxing, filing What We Are Looking For Bachelor's degree (B. S.); or 5 years related experience and/or training; or equivalent combination of education and experience 2-3 yrs. experience working with all Medicare and all Medicaid plans; knowledge of NJMMIS and CMS required 2-3 yrs. experience working with all Private insurance plans 2-3 yrs. insurance / billing experience Care Plus follows Title VII of the Civil Rights Act of 1964, et seq and NJ Law Against Discrimination. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, sexual orientation, national origin, disability status, protected veteran status or any other characteristic protected by Federal and State laws. #J-18808-Ljbffr Care Plus NJ, Inc.