Billing Specialist in Flemington, New Jersey at Hunterdon Health Care System

Position Summary

Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies.

Primary Position Responsibilities

1. Utilize tools, software and reports provided.
2. Perform all activities for billing, claim adjustment, account follow-up processes.
3. Complete payment review, working Compass Exception Reports.
4. Process denials timely.
5. Exhibit strong professional customer service in daily interactions.
6. Other duties as warranted.

Work Contact Group (Internal/External)

Business Office staff, Hospital Management, various HMC departments, insurance company representatives and vendors.

Reporting Relationships

Reports to (position):

Director, Patient Financial Services

Supervises (position(s):

None

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 Specialized 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

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).