Hackensack Meridian Health Inc.
Third Party Follow-Up Analyst
Hackensack Meridian Health Inc., Tinton Falls, New Jersey, United States
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 !
#J-18808-Ljbffr
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 !
#J-18808-Ljbffr