Unknown Company

Collections Reimbursement Specialist

mount laurel, nj • Posted 1 weeks ago
Hybrid Contract General

Job TitlePRIMARY RESPONSIBILITIES:Run and review aging accounts receivable reportsIdentify and report payer denial trends and resolve outstanding accounts receivable; shares payer trending data with internal departments to ensure a reduction in the number of denialsResponsible for timely insurance denial, appeal and claim follow up activities to maximize collection efforts and reviews collection worklistsEnsure timely follow up on all patient and insurance refund requests and credit balancesRecommend and complete account adjustments, where appropriateIdentifies insurance contract opportunities/requirements and communicates to the Payor Relations departmentAnswer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing excellent customer serviceAnalyzes and determines accounts to transfer to External Agency for collectionAccepts and negotiates payment arrangements and contacts patient(s) regarding missed paymentsAssist with obtaining prior authorizationsProvide patient balance estimates and verify insurance for all payers, including Medicare, Medicaid, and commercial insurancesIdentifies underpayments and overpayments made by third-party payers while monitoring credit balance reportProcesses patient financial hardship applications and reviews requests for account adjustmentsProcess, sort, and direct incoming and outgoing mail to the appropriate teams and departmentsMaintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance informationRequest medical records and other patient information, when appropriateProvides management team with immediate feedback on issues affecting workflow, reimbursement, and customer serviceAttend staff meetings and report on monthly performance and activitiesAdheres to appropriate quality control, confidentiality, and HIPAA guidelinesQUALIFICATIONS, SKILLS & COMPETENCIES:Bachelor's degree, preferred5 + years of Medical Accounts Receivable, Medical Billing, Customer Service, Denial Management and Collections experiencePrevious experience with medical claims processing, insurance verification, medical records and insurance terminologyCompetency with Windows PC Applications, including strong Microsoft Word and Microsoft Excel skillsStrong keyboard and navigation skills and ability to learn new computer skills & applicationsProven ability to collect and resolve aging accounts receivable balancesEquipped to handle multiple tasks, accurately process high volumes of work, prioritize work and manage time effectively to meet deadlinesCapable of making decisions and solving problems using established departmental standard operating procedures and guidelines with limited supervisionDemonstrated effective and appropriate communication styles and interpersonal skills that promote positive and professional working relationships with peers and management teamAbility to assist with and adapt to departmental and / or company procedural changesAble to work a 40-hour schedule within the operating hours of the department, 8 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PMAs this is a hybrid position, must be able to commute to headquarters in Mount Laurel, NJIt may be necessary, based on business and departmental need, to work occasional overtime and/or weekends.Telecommute work possible, subject to business environmental conditionsBENEFITS:Competitive salary and bonus structureHealth, dental and vision insurance as well as other ancillary benefitsRetirement savings plan – 401(k) – with company matchPaid time off (PTO) and holidaysProfessional development and training opportunitiesEmployee wellness programsEEO STATEMENT:RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.

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