Hudson Regional Hospital
Medicaid/Medicare Billing Specialist
Hudson Regional Hospital, Clifton, New Jersey, us, 07015
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Medicaid/Medicare Billing Specialist
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Medicaid/Medicare Billing Specialist
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Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Hudson Regional Hospital provided pay range
This range is provided by Hudson Regional Hospital. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$20.00/yr - $29.00/yr Job Summary
Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts.
Key Responsibilities
Claim Follow-up: Monitor the progress of insurance claims from submission to payment. Identify and resolve claim denials, rejections, and delays. Follow up with insurance carriers to expedite claim payments. Error Correction: Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors. Make necessary corrections in the billing system to ensure accurate claims. Medicare Claims: Process Medicare RTP claims and denial reports on a daily basis. Ensure timely and accurate submission of Medicare credit balance quarterly reports. Account Resolution: Research outstanding accounts and take appropriate action to secure prompt payment. Analyze system-generated reports to identify accounts requiring research. Document all resolution activities in the appropriate system and log. Alert supervisors or managers of non-payment trends. Contractual Allowance: Research partial payments to determine if the appropriate contractual allowance was calculated. Initiate corrective action for miscalculated allowances, including collaboration with clinical departments. Document results and alert supervisors or managers of trends. Rejected and Denied Services: Research rejected or denied services and determine corrective action. Complete corrective action using departmental procedures and policies. Document results and alert supervisors or managers of non-payment trends. Reporting: Complete productivity reports and submit to supervisors within the established timeframe. Customer Service and Performance Improvement: Support the department's customer service and performance improvement goals. Collaborate with other staff to enhance patient care and service. Compliance: Maintain strict confidentiality of patient information.
Required Qualifications
Experience: 1-3 years of experience in healthcare billing or Hospital billing. Technical Skills: Proficiency in using billing systems and software. Knowledge: Knowledge of Medicare, Medicaid, and HMO billing regulations. Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Hudson Regional Hospital by 2x Sign in to set job alerts for Billing Specialist roles.
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Medicaid/Medicare Billing Specialist
role at
Hudson Regional Hospital Continue with Google Continue with Google 7 months ago Be among the first 25 applicants Join to apply for the
Medicaid/Medicare Billing Specialist
role at
Hudson Regional Hospital Get AI-powered advice on this job and more exclusive features. Sign in to access AI-powered advices
Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Continue with Google Hudson Regional Hospital provided pay range
This range is provided by Hudson Regional Hospital. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$20.00/yr - $29.00/yr Job Summary
Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts.
Key Responsibilities
Claim Follow-up: Monitor the progress of insurance claims from submission to payment. Identify and resolve claim denials, rejections, and delays. Follow up with insurance carriers to expedite claim payments. Error Correction: Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors. Make necessary corrections in the billing system to ensure accurate claims. Medicare Claims: Process Medicare RTP claims and denial reports on a daily basis. Ensure timely and accurate submission of Medicare credit balance quarterly reports. Account Resolution: Research outstanding accounts and take appropriate action to secure prompt payment. Analyze system-generated reports to identify accounts requiring research. Document all resolution activities in the appropriate system and log. Alert supervisors or managers of non-payment trends. Contractual Allowance: Research partial payments to determine if the appropriate contractual allowance was calculated. Initiate corrective action for miscalculated allowances, including collaboration with clinical departments. Document results and alert supervisors or managers of trends. Rejected and Denied Services: Research rejected or denied services and determine corrective action. Complete corrective action using departmental procedures and policies. Document results and alert supervisors or managers of non-payment trends. Reporting: Complete productivity reports and submit to supervisors within the established timeframe. Customer Service and Performance Improvement: Support the department's customer service and performance improvement goals. Collaborate with other staff to enhance patient care and service. Compliance: Maintain strict confidentiality of patient information.
Required Qualifications
Experience: 1-3 years of experience in healthcare billing or Hospital billing. Technical Skills: Proficiency in using billing systems and software. Knowledge: Knowledge of Medicare, Medicaid, and HMO billing regulations. Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Hudson Regional Hospital by 2x Sign in to set job alerts for Billing Specialist roles.
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