Job Location : Flemington,NJ, USA
# Position#Summary Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental#Insurance Companies. Primary Position Responsibilities Utilize tools, software and reports#provided. Perform all activities for billing, claim adjustment, account follow-up processes. Complete payment review, working Compass Exception Reports. Process denials timely. Exhibit strong professional customer service in daily interactions. Other duties as warranted. # Qualifications Minimum Education: Required: High School Education or equivalent Preferred: Associates Degree in Business Administration Minimum Years of Experience (Amount, Type and Variation): Required: None Preferred: Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology. License, Registry or Certification: Required: None Preferred: Certificate and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM. Knowledge, Skills and/or Abilities: Required: Computer Skills, Customer Service Skills Preferred: Detail oriented, bookkeeping skills, Team player
Position Summary
* Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental Insurance Companies.
Primary Position Responsibilities
* Utilize tools, software and reports provided.
* Perform all activities for billing, claim adjustment, account follow-up processes.
* Complete payment review, working Compass Exception Reports.
* Process denials timely.
* Exhibit strong professional customer service in daily interactions.
* Other duties as warranted.
*
Qualifications
* Minimum Education:
* Required:
* High School Education or equivalent
* Preferred:
* Associates Degree in Business Administration
* Minimum Years of Experience (Amount, Type and Variation):
* Required:
* None
* Preferred:
* Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology.
* License, Registry or Certification:
* Required:
* None
* Preferred:
* Certificate and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM.
* Knowledge, Skills and/or Abilities:
* Required:
* Computer Skills, Customer Service Skills
* Preferred:
* Detail oriented, bookkeeping skills, Team player