• Account Representative - Oncology - Physician…

    Hackensack Meridian Health (Brick, NJ)


    Our team members are the heart of what makes us better.

     

    At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

     

    Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

     

    The **Account Representative** is responsible for billing and Revenue Cycle follow up. Ensures the accuracy and completeness of all submissions for maximum reimbursement. Responsible for timely and accurate posting of all payments and adjustments. Follows appropriate procedures/workflows depending on EHR.

     

    This is a very busy oncology practice with two locations: Brick** **and Red Bank.

     

    We are looking for someone that can work at either or both location - based on their preference

     

    Brick: We have 5 staff members and 1 Medical Doctor and 1 Nurse Practicioner

    Red Bank: We have 5 staff members and 4 Medical Doctors and 2 Nurse Practicioners

    + **We are looking fo someone with a m** **inimum of 2 years of experience in a hospital setting or medical/clinical office.**

    + **Prior experience with an electronic health record system (especially EPIC clinical or ARIA) preferred.**

    + **Prior relevant experience, such as doing prior authorizations in a medical doctor office, or related hospital or Physician based services.**

    + **Demonstrated knowledge of medical terminology, preferably in Oncology, with strong understanding of cancer medical terminology.**

    + **Experience in analyzing the NCCN, FDA and CMS guidelines for cancer diagnosis.**

    Some of the main responsiblites:

    + **Obtains Referrals/Authorizations and Verifies eligibility, submits requests for prior authorizations for all oncology services as prescribed by the Clinical care team and conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network.**

    + **Submits all referral information to necessary providers, as appropriate.**

    + **Assists with pre-authorizations of hospital admissions, procedures, medications and medical equipment.**

    Education, Knowledge, Skills and Abilities Required:

    + High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.

    + Prior billing knowledge.

    + Possess the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials.

    Licenses and Certifications Preferred:

    + Certified Professional Coder.

     

    If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

     

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    HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

    All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.