Underpayments Follow Up Representative

  • location: Parsippany, NJ
  • type: Permanent
  • salary: $42,000 - $45,000 per year
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job description

Underpayments Follow Up Representative

job summary:
One of our top clients with multiple locations in NJ, is looking to hire an Underpayments Account Representative for their Parsippany, NJ location. This position will be staffed on a permanent basis. Salary will be contingent upon prior experience.

Job purpose

Our Underpayment Recovery Services division is an integral part of our company's success. The Team is responsible for collecting outstanding insurance balances left open due to contractual discrepancies. The analyst should have the following: excellent communication skills; excellent critical thinking skills; excellent client relationship skills; thorough understanding of the revenue cycle including third party payer requirements.

Duties and responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
  • Detailed knowledge of Managed Care reimbursement methodologies
  • Perform payment variance analysis to identify trends in underpaid claims
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
  • Identify and report underpayments and denial trends
  • Initiate appeals when necessary
  • Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Maintain confidentiality at all times
  • Maintain a professional attitude
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • Report any security or HIPAA violations or concerns to the HIPAA Officers in a timely fashion
Qualifications

  • 3 years' experience in Commercial insurance collections, including submitting and following up on claims
  • Experience in Hospital/Facility billing
  • Ability to work well individually and in a team environment.
  • Proficiency with MS Office
  • Strong communication skills/oral and written
  • Strong organizational skills
Please submit your resume for immediate consideration!

 
location: Parsippany, New Jersey
job type: Permanent
salary: $42,000 - 45,000 per year
work hours: 8 to 5
education: Associate's degree
experience: 3 Years
 
responsibilities:
One of our top clients with multiple locations in NJ, is looking to hire an Underpayments Account Representative for their Parsippany, NJ location. This position will be staffed on a permanent basis. Salary will be contingent upon prior experience.

Job purpose

Our Underpayment Recovery Services division is an integral part of our company's success. The Team is responsible for collecting outstanding insurance balances left open due to contractual discrepancies. The analyst should have the following: excellent communication skills; excellent critical thinking skills; excellent client relationship skills; thorough understanding of the revenue cycle including third party payer requirements.

Duties and responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
  • Detailed knowledge of Managed Care reimbursement methodologies
  • Perform payment variance analysis to identify trends in underpaid claims
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
  • Identify and report underpayments and denial trends
  • Initiate appeals when necessary
  • Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Maintain confidentiality at all times
  • Maintain a professional attitude
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • Report any security or HIPAA violations or concerns to the HIPAA Officers in a timely fashion
Qualifications

  • 3 years' experience in Commercial insurance collections, including submitting and following up on claims
  • Experience in Hospital/Facility billing
  • Ability to work well individually and in a team environment.
  • Proficiency with MS Office
  • Strong communication skills/oral and written
  • Strong organizational skills
Please submit your resume for immediate consideration!

 
qualifications:
One of our top clients with multiple locations in NJ, is looking to hire an Underpayments Account Representative for their Parsippany, NJ location. This position will be staffed on a permanent basis. Salary will be contingent upon prior experience.

Job purpose

Our Underpayment Recovery Services division is an integral part of our company's success. The Team is responsible for collecting outstanding insurance balances left open due to contractual discrepancies. The analyst should have the following: excellent communication skills; excellent critical thinking skills; excellent client relationship skills; thorough understanding of the revenue cycle including third party payer requirements.

Duties and responsibilities

  • Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
  • Detailed knowledge of Managed Care reimbursement methodologies
  • Perform payment variance analysis to identify trends in underpaid claims
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.
  • Identify and report underpayments and denial trends
  • Initiate appeals when necessary
  • Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
  • Maintain confidentiality at all times
  • Maintain a professional attitude
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • Report any security or HIPAA violations or concerns to the HIPAA Officers in a timely fashion
Qualifications

  • 3 years' experience in Commercial insurance collections, including submitting and following up on claims
  • Experience in Hospital/Facility billing
  • Ability to work well individually and in a team environment.
  • Proficiency with MS Office
  • Strong communication skills/oral and written
  • Strong organizational skills
Please submit your resume for immediate consideration!

 
skills: 3rd Party Billing
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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