Hospital Billing Account Receivable Follow-up Representative

Position HighlightsDepartment: Accounts ReceivableHours: 40.00 per weekShift: Shift 1
Position SummaryThe Hospital Billing Accounts Receivable Follow-up Representative is responsible for conducting follow-up process activities on outstanding payments  through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently. Work also includes reviewing insurance remittance advices and resubmitting claims with necessary information. The incumbent will continuously interact with physicians and insurance vendors to investigate outstanding claims and incomplete payments. Essential Duties & ResponsibilitiesUnder Direct Supervision of the Patient Accounts Manager, the Hospital Billing Accounts Receivable Representative will include the following:Responsible for Identifying and resolving any and all outstanding issues preventing claim resolution for assigned payersResponsible for  working all no response, underpayment, and denial Work Queues Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity and quality standards established in departmental policiesMaintain a relationship with provider representativesUpdate and monitor spreadsheets, projects, and audits with assigned payersWorking knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contractsIdentify and report underpayments and denial trendsHelp cover customer service phone calls as neededPerform special projects and other duties as needed by the management team. Maintain confidentiality at all timesUse, 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 dutiesAdheres to all Core Values (Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation).Adheres to all Absolutes (Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment). Other job related duties as assigned. Minimum QualificationsWorking knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contractsMust have a working knowledge of hospital billing systems.A minimum of 2 years experience in Hospital Accounts Receivables follow upAbility to analyze, identify and resolve issues causing payer payment delays Initiate appeals when necessaryAbility to multitask, prioritize, and manage time efficientlyStrong interpersonal skills Outstanding problem-solving and organizational abilitiesPreferred QualificationsEpic hospital billing system knowledge desired IDX hospital billing system knowledge a plus  Comprehensive Benefits OfferedCompetitive and affordable benefits packageShift DifferentialsContinuing Education assistanceTuition reimbursementStudent Loan relief through FiduciusQuick commute access from I-84, Route 9 and surrounding areas
About Middlesex HealthThe Smarter Choice for your Career!Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.