Patient Accounts Rep, Self Pay
RWJBarnabas Health, Oceanport, NJ, United States
Job Title
Patient Accounts Representative – Self Pay
Location
RWJBarnabas Health Corporate Services – 2 Crescent Place, Oceanport, NJ 07757
Employment Type
Full-Time, Day Shift
Pay Range
$20.60 – $25.84 per hour
Pay Transparency:
The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Overview
The Patient Account Representative is responsible for managing and resolving
all aspects of the patient billing process . This includes billing insurance companies, following up on outstanding claims, collecting payments from patients, responding to patient inquiries, and maintaining accurate account records. The role is essential in ensuring timely revenue collection, maintaining patient satisfaction, and supporting the financial health of the organization. The position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits and trend monitoring.
Essential Functions
Takes actions that will support maximization of collection of balances due or account resolution from all sources.
Meets Quality and Productivity expectations.
Facilitate account resolution.
Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and or insurance carriers.
Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix.
Timely identify, research, and resolution any issues that may cause delays in payment or account resolution.
Identify and recommend opportunities to improve collections and follow-up activities.
Works collaboratively across teams, with peers, and revenue cycle departments.
When asked, performs other duties as assigned to support revenue cycle operations.
Billing and Claims Processing
Prepare, review, and submit accurate insurance claims, electronic and paper, in a timely manner.
Verify insurance eligibility and benefits prior to billing.
Ensure compliance with payer requirements, CPT/ICD10 coding standards, and billing regulations.
Accounts Receivable and Collections
Monitor aging reports and follow up on unpaid or denied claims with insurance payers.
Post insurance and patient payments accurately, including adjustments and write-offs.
Initiate appeals and re-submissions for denied or underpaid claims.
Contact patients regarding outstanding balances and arrange payment plans when necessary.
Customer Service
Respond promptly and professionally to inquiries from patients regarding their accounts.
Educate patients on billing processes, insurance coverage, and financial assistance options.
Maintain a high level of customer service and ensure patient confidentiality at all times.
Documentation and Reporting
Maintain accurate and complete records of all patient account activity in the billing system.
Document all communication and actions related to account resolution.
Generate and analyze reports related to billing, collections, and aging accounts.
Compliance and Quality Assurance
Stay updated on healthcare billing regulations, HIPAA compliance, and payer policies.
Participate in audits, training sessions, and process improvement initiatives.
Identify trends and recurring issues to recommend operational improvements.
Scheduling Requirements
Full-time 37.5 hours per week.
Must be able to report to Oceanport, NJ for mandatory trainings or meetings.
Qualifications
Required:
High School Diploma.
Proficient in Microsoft Office, Excel, Outlook, Word.
Excellent communication and interpersonal skills.
Ability to prioritize tasks, manage time effectively, and handle sensitive information with discretion.
Experience with a self-pay software for healthcare billing.
Preferred:
Preferred 1-2 years in healthcare insurance billing or account follow-up; strong knowledge of Patient Accounting systems.
Strong knowledge of medical billing software, Epic, Cerner, Athena, Meditech.
Familiarity with ICD10, CPT, HCPCS coding and healthcare reimbursement methods.
Benefits and Perks
Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts through our partners such as NJ Devils, NJ PAC, Verizon, and more!
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Opportunity Employer
#J-18808-Ljbffr
Patient Accounts Representative – Self Pay
Location
RWJBarnabas Health Corporate Services – 2 Crescent Place, Oceanport, NJ 07757
Employment Type
Full-Time, Day Shift
Pay Range
$20.60 – $25.84 per hour
Pay Transparency:
The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Overview
The Patient Account Representative is responsible for managing and resolving
all aspects of the patient billing process . This includes billing insurance companies, following up on outstanding claims, collecting payments from patients, responding to patient inquiries, and maintaining accurate account records. The role is essential in ensuring timely revenue collection, maintaining patient satisfaction, and supporting the financial health of the organization. The position supports the reduction of Accounts Receivables. The Representative may also perform a variety of duties including assisting patients directly with their bill or other financial aspects of their hospital service, correspondence response, billing and rebilling, certain denial issues, prompt handling of A/R credits and trend monitoring.
Essential Functions
Takes actions that will support maximization of collection of balances due or account resolution from all sources.
Meets Quality and Productivity expectations.
Facilitate account resolution.
Accurately identify, follow-up on, or correct billing errors, lower than expected reimbursement, or denials for correction for submission or resubmission to patients and or insurance carriers.
Accurately perform actions on accounts that will result in the least amount of time and effort to bring an account to resolution based on job specific priority matrix.
Timely identify, research, and resolution any issues that may cause delays in payment or account resolution.
Identify and recommend opportunities to improve collections and follow-up activities.
Works collaboratively across teams, with peers, and revenue cycle departments.
When asked, performs other duties as assigned to support revenue cycle operations.
Billing and Claims Processing
Prepare, review, and submit accurate insurance claims, electronic and paper, in a timely manner.
Verify insurance eligibility and benefits prior to billing.
Ensure compliance with payer requirements, CPT/ICD10 coding standards, and billing regulations.
Accounts Receivable and Collections
Monitor aging reports and follow up on unpaid or denied claims with insurance payers.
Post insurance and patient payments accurately, including adjustments and write-offs.
Initiate appeals and re-submissions for denied or underpaid claims.
Contact patients regarding outstanding balances and arrange payment plans when necessary.
Customer Service
Respond promptly and professionally to inquiries from patients regarding their accounts.
Educate patients on billing processes, insurance coverage, and financial assistance options.
Maintain a high level of customer service and ensure patient confidentiality at all times.
Documentation and Reporting
Maintain accurate and complete records of all patient account activity in the billing system.
Document all communication and actions related to account resolution.
Generate and analyze reports related to billing, collections, and aging accounts.
Compliance and Quality Assurance
Stay updated on healthcare billing regulations, HIPAA compliance, and payer policies.
Participate in audits, training sessions, and process improvement initiatives.
Identify trends and recurring issues to recommend operational improvements.
Scheduling Requirements
Full-time 37.5 hours per week.
Must be able to report to Oceanport, NJ for mandatory trainings or meetings.
Qualifications
Required:
High School Diploma.
Proficient in Microsoft Office, Excel, Outlook, Word.
Excellent communication and interpersonal skills.
Ability to prioritize tasks, manage time effectively, and handle sensitive information with discretion.
Experience with a self-pay software for healthcare billing.
Preferred:
Preferred 1-2 years in healthcare insurance billing or account follow-up; strong knowledge of Patient Accounting systems.
Strong knowledge of medical billing software, Epic, Cerner, Athena, Meditech.
Familiarity with ICD10, CPT, HCPCS coding and healthcare reimbursement methods.
Benefits and Perks
Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Life & Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Discounts through our partners such as NJ Devils, NJ PAC, Verizon, and more!
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Opportunity Employer
#J-18808-Ljbffr