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Third Party Follow-Up Analyst
- Hackensack Meridian Health (Hackensack, NJ)
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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 Third Party Follow-Up Analyst provides statistical and financial data enabling management to accurately monitor accounts receivable activity on an ongoing basis for the Hackensack Meridian Health (HMH) network. Identifies issues for management regarding significant changes in various accounts receivable categories reflected in the daily dashboards and denial reports. Supports the Revenue Operations team by monitoring key metrics related to revenue and accelerated cash flow. This position performs high level analysis of accounts receivable and uses considerable judgment to determine solutions to complex problems. All tasks must be performed in a timely and accurate manner. Meets with appropriate Revenue Operations leaders and makes recommendations to prevent future denials and payment variances. Disciplines include, but are not limited to, Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care, and IT.
Education, Knowledge, Skills and Abilities Required:
+ BA/BS degree in accounting, business, healthcare administration or a related field; or equivalent relevant HMH experience.
+ Minimum of 2 years of experience in a healthcare billing office or health insurance claims environment.
+ Familiar with common medical billing practices, concepts, and procedures.
+ Excellent analytical and critical thinking skills.
+ Ability to work in a fast paced business office.
+ Must be able to coordinate multiple projects with multiple deadlines or changing priorities.
+ Strong attention to details.
+ Proficient with computer applications including Microsoft Office Suite with strong Excel skills/Google Suite.
+ Must be highly organized and possess excellent time management skills.
+ Strong written and verbal communication skills.
+ Knowledge of ICD-9/10 and medical terminology.
+ Must become Epic Credentialed and/or take and pass Epic online Patient Accounting, ADT and Prelude proficiency courses within 6 months of hire and/or promotion,
+ Must be proficient in use and understanding of Third Party Payers Portals.
Education, Knowledge, Skills and Abilities Preferred:
+ Prior experience in a Patient Financial Services department for a university medical center/hospital or a Health Insurance Payer.
+ Knowledge of Managed Care Contracts, Medicare, and Medicaid.
+ Excellent Epic Skills, Strong knowledge of Real Time Eligibility and Change Health Care-Assurance.
+ Excellent report writing skills.
Licenses and Certifications Required:
+ Certification or Proficiency in Epic HB Fundamentals within in 6 months of hire.
+ Certification or Proficiency in Epic HB Insurance Follow-Up within 3 months of hire.
+ Successfully pass completion of EPIC assessment within 30 days after Network access granted.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
173465
Minimum rate of $63,336.00 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
+ Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
+ Experience: Years of relevant work experience.
+ Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
+ Skills: Demonstrated proficiency in relevant skills and competencies.
+ Geographic Location: Cost of living and market rates for the specific location.
+ Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
+ Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
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.
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