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Hudson Regional Hospital

Commercial Insurance Billing and Follow Up

clifton, NJ

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Job description

Claims ProcessorResponsible for accurately and efficiently processing claims and invoices.Job DutiesPrepare bills and invoices for medical services and treatments receivedManage the billing for commercial insurance and managed care payersPerform billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissionsUtilize all resources available, including electronic inquiries to verify eligibility, benefits and claim statusExercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online systemMaintain claims tracking for the worker's compensation and motor vehicle billing programProvide support for the department and assist with special projects, as assignedDemonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as neededAdvise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessaryAdhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc.)Performs other duties as assigned.Qualifications and SkillsExcellent customer service skills and problem solving skills.Strong analytical and organizational skills.Ability to interact with varying cultures and a diverse population.Basic computer skills.Bi-lingual in Spanish preferred.Education, Experience and Certification/Licensure RequirementsH.S. Graduate or equivalent1-2 years' experience in a customer relations driven industry preferredPrior billing experience a must.

Worksite address

clifton, NJ, 07011, US

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