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Patient Accounts Rep - A/R, Billing & Collections, Navinet & Epic

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Job ID R1009898 Type Employee - Full Time Location Mount Laurel, New Jersey Standard Hours 40

Summary:

The duties of the position include Health Insurance Accounts Receivable processing, troubleshooting and resolving of unpaid/denied claims.

General industry terminology knowledge should include:  UB04, copays, coinsurance, deductibles,  takebacks, allowables, contractual adjustments.

Software application experience should include EMR - EPIC a plus, electronic billing and posting of payments, Navinet, and clearing house.


Responsibilities:

  • Responsible for accurate, timely billing and claim payment collections.
  • Review/resolve denied/unpaid claim within timely filing guidelines for accurate & complete coding.
  • Accurate & complete patient information (demographics, insurance coverage, required auths)
  • Submission of claim appeals to secure payment via website, phone, written or other payor tools e.g. Navinet.
  • Analyze/identify trends in claims processing to reduce denials and variance in payments.
  • Generate system reports to track your productivity including month end A/R.
  • Escalate all billing issues to management that impact payment resolution of claims.

Qualifications:

  • 1-3 years billing A/R experience in a medical organization intensely dealing with insurance. companies, Home Healthcare experience is a plus.
  • History of critical thinking and analytical judgement in trouble shooting claim problems.
  • Be resourceful, able to function independently and provide ideas to expedite processes in AR challenges.
  • EMR software - minimum 1 year experience - EPIC preferred.
  • Experience with Microsoft Office (Word, Excel), Epic, and Navinet.
  • Familiar with medical/AR terminology.

Required Education:

High School diploma or equivalent.

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  • Mission:

    Virtua helps you be well, get well, and stay well.

  • Vision:

    The trusted choice for personalized health care and wellness.

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