Description

We are seeking a Medical Accounts Receivable Specialist in the healthcare industry, based in Monmouth County, New Jersey. This role involves the follow-up of patients’ claims that have been submitted to third-party payors but have not been fully adjudicated and/or denied. As a specialist, you will be expected to adhere to quality and quantity standards of the practice, as well as industry-mandated guidelines and regulations.

Responsibilities:

• Engage in the follow-up of patients’ claims that have been submitted to third-party payors but have not been fully adjudicated and/or denied.

• Adhere to quality and quantity standards of the practice as well as industry mandated guidelines and regulations.

• Comprehend and translate information from ERAs, EOBs, or any other third-party payor correspondence.

• Facilitate final adjudication of patients’ claims.

• Demonstrate a basic understanding of CPT and ICD coding, and rudimentary medical terminology.

• Identify trends and provide immediate feedback to the AR Team Lead or AR Revenue Cycle Manager.

• Possess problem-solving, prioritization, and organizational skills.

• Display reliability, accuracy, and efficiency when dealing with patients or third-party payors.

• Understand the terms of any contract between the healthcare provider and its third-party payors when relevant.

• Exhibit excellent verbal and written communication skills, and excellent interpersonal skills.

Requirements • Minimum of 1 year of experience in Medical Accounts Receivable or similar role

• Proficiency in Microsoft Excel

• In-depth knowledge of Accounts Receivable (AR)

• Experience with Medical Billing processes and procedures

• Strong communication and interpersonal skills

• Ability to multitask and prioritize work

• Detail-oriented with strong organizational skills

• Strong problem-solving skills and ability to work under pressure

• Ability to work independently and in a team

• Knowledge of medical terminology and healthcare regulations is an advantage

• High level of integrity and confidentiality

• Ability to analyze and interpret financial data.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .