How have you impacted someone's life today? At Hackensack Meridian Health our healthcare teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career all within New Jersey's premier healthcare system.
Responsibility for analysis of the Medical Center's billing functions for all facility services. Assists Billing Management with system testing, upgrades, modifications and mandated regulatory changes. Identifies billing issues and recommends possible solutions to increase productivity, maximize cash collections, and improve the revenue cycle.
Essential Generic Job Functions (List in order of importance):
Utilizes billing system reports for analysis, identifies trends and developments; presents findings to Billing Management. Assists with the resolution of billing system and edit issues as they arise.
Keeps Manager informed of all system issues and consults for direction as necessary. Performs testing for new or upgraded systems and applications; analyzes actual vs. expected results; performs root causes analysis as necessary; prepares written documentation, spreadsheets, and/or a summary of findings for Management as necessary.
Assesses the impact of new billing requirements on the operation and recommends procedural or system changes as necessary.
Assists with implementation of automation or other efficiencies upon identification of opportunities. Performs reconciliation of electronic transactions. Identifies errors and performs root cause analysis when rejections are identified; documents results.
Performs or assists with specialized billing functions (i.e., list billing, cosmetic, global, research, hard copy attachments, grants); may assist with day to day billing functions when necessary. Provides assistance with maintaining current and accurate written departmental policies and procedures.
Evaluates actual vs. planned performance and metrics, presents and communicates possible opportunities.
Identifies and suggests resolution for problems involving departments which affect billing productivity or data quality. Maintains accurate notes and electronic documentation of findings; documents requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks. Initiates contact with insurance companies as necessary to investigate or resolve payer/edit issues. Maintains working knowledge of the claims scrubber system (currently ePremis) and the Medical Center's main information system (i.e., SMS, Epic).
Knowledge, Education and Skills Required:
BA/BS degree in accounting, business, healthcare administration or a related field. Minimum two years 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 and recall for details.
Prior experience with an electronic billing system/claims editor. Proficient with computer applications including Microsoft Office Suite; strong Excel skills. Must be highly organized and possess excellent time management skills. Strong written and verbal communication skills.
Hackensack University Medical Center