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Care Plus NJ · 1 week ago

Accounts Receivable Representative

Paramus, NJ

Full-time

Onsite

Entry, Mid Level

$52K/yr - $52K/yr

2+ years exp

Care Plus NJ is a leader in mental health and integrated care in Northern New Jersey. As an Accounts Receivable Specialist, you will be responsible for meeting monthly collection goals, assisting with patient accounts, and ensuring compliance with billing procedures. The role requires collaboration with various teams and problem-solving for payment issues.

Health CareMedicalMental HealthNon ProfitOutpatient CarePsychologyRehabilitation

Responsibilities

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

Qualification

Medicaid billingMedicare billingInsurance reimbursementPatient Accounting systemsBilling complianceClerical functionsProblem-solvingCommunication skills