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Insurance Accounts Receivable Billing Representative in Princeton, NJ at HGS

Date Posted: 2/7/2018

Job Snapshot

Job Description

JOB PURPOSE:

The Insurance A/R Follow-up Representative (IAR Rep) is a performance-based position. Employees in this position will be responsible for reviewing unpaid, underpaid, denied or unresolved insurance balance patient accounts submitted to various health care payers. The primary focus of the IAR Rep is to review claims for accuracy and completeness, timeliness and correctness of payment from payers, and rebilling / appealing as appropriate to resolve any underlying errors in claims submission and account resolution and meet performance-based goals.

Position is a full-time position working Monday to Friday.

Principal Duties and Responsibilities:

  • Billing and resubmitting claims

  • Retrieving necessary documents for billing

  • Identifying issues with claim forms

  • Following up on claims

  • Coordinating with teams spread across various geographic locations

  • Posting adjustments and resolving credit balances

  • Resolving rejections and denials through corrections and appeals

  • Follow work place rules such as attendance, break and lunches, and quality measures.

  • Demonstrate professional behaviour and respect towards fellow team members, team leaders, management and overall organization

    The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned. In addition to the above, all HGS employees are expected to:

    * Promote teamwork and cooperative effort. * Help train and give guidance to other HGS employees. * Maintain a clean, safe, and unobstructed work area, and practice good safety habits. * Provide internal and external customers with the highest quality service.

Job Requirements

  • Prior hospital or physician office billing experience preferred. Candidates with no billing experience but with a Medical Billing and or Coding certification may apply.

  • High school diploma or general equivalency diploma mandatory.

  • Basic Knowledge of Microsoft Office, Excel, and Word

  • Able to communicate verbally and in writing in fluent English

  • Excellent communication skills and telephone skills

  • Ability to navigate through different computer systems

  • Ability to research documents and find information

  • Must be flexible with the ability to adapt to changes quickly and think conceptually

  • Solid problem solving skills to resolve complex customer inquiries

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