NEMR Skill.

  • Hainesport, NJ


  • Long-term.

  • Full-time.

Confidential Business, situated in Hainesport, NJ, is seeking to fill the Billing and Collections Expert position.

This is a direct hire, in-office, FEET position, Monday through Friday 8 AM to 4: 30 PM.

Effective prospects will have a minimum of 3 years’ experience of Billing and Collections experience specifically with understanding in Behavioral Health.

Responsibilities of the position consist of however not restricted to the following:

Manage Medicare, Medicaid, and 3rd celebration declaring and balance due as it connects to behavioral health services such as Outpatient, Case Management, Drug Abuse and Residential treatment. Will be accountable for examining claims in the electronic health record (Carelogic) for precision in addition to submission of claims digitally through the Medicaid and ChangeHealthcare sites and through paper HCFA. Will keep an eye on electronic claims to guarantee effective transmission to clearinghouse. Need to have the ability to comprehend and check out the Description of Advantages (EOB). Accountable for tracking and examining EOB’s for payments and rejections along with publishing payments. Accountable for acting on overdue and rejected claims on a weekly basis. Should have the ability to equate the EOB to the electronic health record for precise balances and customer obligation of payment in a prompt matter. Accountable for evaluating unsuccessful activity and declares reports to repair or intensify any mistakes restricting claims from creating. Accountable to examine A/R reports as it associates with open charges for non-payment consisting of however not restricted to: brief payments, ineligibility, unreliable medical diagnosis, incorrect coding and no permissions on a weekly basis. Accountable for interacting successfully any patterns associating with stopped working activities/claims, claim rejections, or procedure problems to the Manager. Validate insurance coverage eligibility and demographics through emevs, Novitasphere, and Navinet along with over the phone. Go into insurance coverage info and upgrade group details in the electronic health record. Show understanding and abilities essential to supply suitable customer support to customers with concerns to account collections.

EDUCATION/ High School Diploma with a minimum of 3 years’ experience

TRAINING: Medicaid, Medicare, 3rd Celebration billing and collections.

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NEMR Skill.