Claims Resolution Specialist/Onsite Client Services Representative

Jersey City, NJ

Posted: 08/29/2018 Job Number: 11689191
Claims Resolution Specialist
  1. Review and clearing claim issues for all aspects of the revenue cycle process from front desk errors to complex AR Follow-up projects.
  2. Working with large scale multi-specialty/multi-site healthcare organizations in the U.S.
  3. Will provide extensive training on our systems and processes using Athena Net and various EMR' s.
  4. Will work collaboratively with other peers in revenue cycle across the U.S.

Job Requirements
  1. Experience in full revenue cycle processes from front desk registration through insurance follow-up to commercial payers and Medicare/Medicaid.
  2. Detailed understanding on how to read and interpret EOB' s and denials from all insurance carriers including the financial components such as co-pays, deductibles, co-insurance.
  3. Thorough knowledge of appeals processing from end to end including across all payer categories based on insurance denial.
  4. Experience working in multi-specialty physician billing environment either standalone or within a hospital network/ACO.
  5. Excellent systems experience and acuity whether EMR and Billing/Collection Systems.
  6. Ability to both work independently and at the same time effective in communication to the AR Director the issues needing clarification.
  7. This person would need to have a reliable car and the ability to drive to different locations as needed.
  8. This is a position based in Northvale and the candidate will have to travel to different practices.
  9. Experience level: 4-10 years.
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