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Billing Representative (FT) - Corporate Care - Lakewood, NJ

Company: Saint Barnabas Health Care System
Location: Lakewood
Posted on: February 27, 2019

Job Description:


Job Number: REQ40666-POS53999
Category: Clerical / Administrative Support
Location: Lakewood, NJ

RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals - Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children's hospitals and a leading pediatric rehabilitation hospital (Children's Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state's largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization.

Barnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

Job Summary:

The Billing Representative performs insurance/billing review and verification of patient account information against insurance program specifications. Communicates and interacts with colleagues, hospital staff, patients, public, physicians and their staff and third party insurance personnel. Is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors.

Essential Functions:

* Analyze and verify coding of procedures and diagnosis using ICD and CPT codes.

* Bills insurance companies for all hospital (inpatient and outpatient), office, nursing homes, and all other provider services.

* Consults with Compliance Department on billing issues.

* Enter data electronically to process charges, payments, denials, and adjustments.

* Instructs new employees on billing and IDX input. Educates employees in billing system and billing protocols.

* Keeps updated on all third party billing requirements and changes for insurance types within their area of responsibility.

* Makes accounts private and notifies patients when claims have not been paid after periods in established accounts receivable policy.

* Monitors claims for missing information, authorization/control numbers.

* Post third party insurance remittance vouchers if received in practice site.

* Resolve routine patient billing inquiries and problems.

* Reviews billing in all sites for accuracy.

* Secures needed medical documentation required or requested by third party insurances.

* Processes rejections to correct any billing errors and resubmitting claims to third party insurance carriers.

* Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.

Job Requirements:

* High School Diploma

* Completed coursework in insurance billing, data processing and medical terminology preferred.

* Knowledge of ICD & CPT coding.

We offer a great work environment, competitive rates and excellent benefits, including:

* Medical/Dental/Vision plans

* 401 (k)


* Short & Long Term Disability

* Basic Life & Accidental Death Insurance

* Tuition Reimbursement

* Health Care/Dependent Care Flexible Spending Accounts

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Equal Opportunity Employer.

Keywords: Saint Barnabas Health Care System, Lakewood , Billing Representative (FT) - Corporate Care - Lakewood, NJ, Accounting, Auditing , Lakewood, New Jersey

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