Patient Fin. Svc. Rep, AHSIC - Atlantic Health System

Responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts, cash application and reconciliation and/or resolving customer service issues. Additional responsibilities may include notifying the patient and/or guarantor of liabilities, verifying insurance benefits, and assisting customers regarding billing questions. 

Confirm delivery tickets ensure proof of delivery requirements are met.

• Track and log receipt of delivery tickets from Operations and Professional Services. Communicate any delays with management.
• Track order processing and delivery errors and report back to management.
• Process backorders.
• Bill orders and review for accuracy.
• Create rental claims and review for accuracy.
• Prepare and submit paper claims. 
• Prepare billing batches and submit electronic claims.
• Review and correct claim rejections. Identify trends and work with leadership to develop and execute action plans.
• Manage compliance requirements for pap therapy to assure accurate billing.
• Maintain CSR error log.
• Review tickets in Billing for accuracy and audit medical records to verify medical policy requirements are met.
• Verifies modifiers are in place in accordance with the individual payor requirements and communicates any errors in the matrix.
• Verifies pricing is accurate and communicates errors to assure pricing tables are accurate.
• Verify the accuracy of orders created by CSRS and that all required demographic and order information is complete.
• Verify insurance process has been followed and authorizations have been obtained as needed. 
• Regular telephone contact with patients/clients, discharge planners, physicians and their staff, and other referral sources.
• Respond to problem situations, documenting the inquiry and responding in a timely and efficient manner.
• Report system errors to management for correction (missing modifiers, pricing discrepancies).
• Must be able to qualify patients for equipment based on Medicare and insurance guidelines.
• Facilitate communications with other departments by coordinating the delivery and setup of product and services.
• Performs all other duties as required by the supervisor/manager.
• Overtime may be required

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.