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Accounts Receivable Representative

On-site40 hours M-F: 8am-4pm or 9am-5pm

Salary: $52k

What We Offer:

+ Health, Dental and Vision

+ Generous Vacation, Personal, and Sick Time

+ Union Benefits

+ Competitive Hourly Wages and Premium Holiday Compensation

+ 401K Plan and Tuition Reimbursement

+ Employee Discount and Rewards Program

+ Life & AD&D insurance; STD & LTD coverage

Note: That's not all! We have even more benefits available. Our recruiting team will provide you with more information as you continue with your interview process. Benefit eligibility is based on the specific requirements and criteria of each plan.

Job Summary:

As an Accounts Receivable Specialist in our Finance Department, you will be responsible for meeting monthly collection goals by following established procedures and assisting with patient accounts and reimbursement. The role requires strong knowledge of NJ Medicaid and Medicare billing, collaboration with clinical and executive teams, and problem-solving for payment issues. Additional duties include auditing accounts, generating reports for management, and ensuring departmental objectives are met on time.

What You Will Do:

+ Assist and maintain appropriate internal controls over accounts receivable

+ Assist with and monitor accounts sent for collection and reimbursements from insurance companies and other third-party payers

+ Review, monitor, and evaluate third party reimbursement compliance and research variances

+ Keep abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations

+ Process insurance payments to client accounts in computerized system

+ Identify, track, and resolve payment discrepancies through claims adjustments.

+ Verify benefit entries to ensure accuracy

+ Submit appeal letters as needed

+ Contact clients regarding outstanding balances

+ Respond to client billing and statement inquiries

+ Make recommendations to management for write-offs

+ Use all Patient Accounting systems including Emdeon, MyEvolv, Navinet to research billing issues

+ Perform clerical functions; Xeroxing, filing

What WeAre Looking For:

+ Bachelor's degree (B. S.); or 5 years related experience and/or training; or equivalent combination of education and experience

+ 2-3 yrs. experience working with all Medicare and all Medicaid plans; knowledge of NJMMIS and CMS required

+ 2-3 yrs. experience working with all Private insurance plans

+ 2-3 yrs. insurance / billing experience

Don't believe you meet all the preferred requirements? Apply anyway!

Studies have shown thatwomen, communities of color, and historically underrepresentedindividuals are less likely to apply to jobs unless they meet all the qualifications. At CarePlus NJ Inc, we are committed to building a workforce that is representative of all members of our community.

Who Are We?

CarePlus New Jersey has been-and continues to be-a leader in mental health and a pioneer in integrated care in Northern New Jersey for more than 45 years. CarePlus strives for excellence in mental health, addiction recovery, and community-based services. Our goal is to offer affordable, accessible, and holistic-centered care that empowers individuals to reach their full potential and enhance their quality of life.

Care Plus follows Title VII of the Civil Rights Act of 1964, et seq and NJ Law Against Discrimination. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, sexual orientation, national origin, disability status, protected veteran status or any other characteristic protected by Federal and State laws.