Billing Representative

Job Title: Billing Representative

Location: Barnabas Health Medical Group

Department Name: UPA-DCMC Neurosurgery

Req #: 0000211555

Status: Hourly

Shift: Day

Pay Range: $17.93 - $25.32 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Billing Representative acts as the primary liaison between the physician practice and medical billing/patient collections vendors, ensuring timely and accurate billing processes. This role manages accounts receivable performance, resolves complex claims, and drives improvements in revenue cycle operations.

Qualifications:

Required:

• High School Diploma or Equivalent
• Proficiency in ICD-9 Coding
• Must have a basic understanding of Medicare coding and billing requirements
• Knowledge of federal, state and third-party payer documentation requirements

Preferred:

• Associates or Bachelors degree in Healthcare Administration or related field
• 1 year billing or claims adjudication experience

Scheduling Requirements:

• Working Shift: Monday - Friday
• Day Shift
• Full-Time, 35 Hours Per Week

Essential Functions:

• Serves are primary practice representative between the physician practice and medical billing and Patient collections vendor,
• Meets with Reimbursement and Patient Collections vendor monthly to discuss key issues, overall accounts receivable performance, and opportunities for improvement
• Provides training to administrative staff regarding new regulations/insurance industry changes
• Act as resource to billing staff and physicians
• Completes charge submission reconciliation
• Responsible for all billing corrections and fee negotiations
• Maintains knowledge of the operational details of all key positions in the business office these include insurance claim processing, payment posting, insurance claim follow up, and patient collections
• Meets with physician in charge of reimbursement to discuss difficult claims
• Meets with Manager monthly to analyze accounts receivable reports, days in receivable, and collection statistics by payor; prepares or presents data to physicians when asked
• Performs quarterly billing audits to ensure timely and accurate processing of charge and payment posting within the practice site
• Conducts detailed review of Explanation of Benefits forms from commercial and managed care payors at least quarterly; prepares or presents results to physicians
• Initiates modifications of all procedural paperwork related to accounts receivable encounter forms, billing screens, etc,
• Verification of insurance
• Authorization for surgical procedures
• Attends reimbursement and carrier seminars
• Actively participates on the Compliance Team, or prepares information for the Compliance Officer
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
• Attends all meetings as requested

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.

Benefits and Perks:

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ....and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer