Third Party Follow-Up Representative

Third Party Follow-Up Representative

Location:

HMH HOSPITALS CORPORATION, Edison, New Jersey.

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.

• Performs account analysis to ascertain the required follow‑up procedure.
• Researches suspended/pending claims and transfers information to the payer.
• Prepares report for payer for large volume of outstanding claims.
• Reports collection efforts/issues for high dollar accounts to management at monthly meetings.
• Processes third party vouchers and verifies accuracy and timeliness of payment.
• Reconciles managed care payments to the explanation of benefits to determine patients' responsibility and performs comparison to managed care contract for accuracy.
• Initiates aging reports by financial class in order to identify problematic areas and accelerate cash flow.
• Resubmits claims to payers via hard copy, fax, or electronic medium.
• Contacts physician offices and/or patient and other hospital departments to secure the appropriate information (referrals, notifications, pre‑authorizations, and any other required documentation for the payer) in order to process the claim.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 1+ years of experience in revenue cycle or equivalent experience.
• Strong written and verbal communication skills.
• Detail‑oriented and organized.
• Demonstrated computer literacy.

• Some post‑secondary education.
• Knowledge of EPIC.
• Experience with Google applications.

• Successfully pass completion of EPIC assessment within 30 days after Network access granted.

Minimum rate of $26.71 Hourly. 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.

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.