Medicare Biller/Accounts Receivables - Clifton, NJ area - Short term and long term roles! - Clifton New Jersey

Location: Clifton, New Jersey
Posted On: 02/03/2025

AppleOne is currently seeking 4 Medicare Billers for a project in the Clifton area. Possible long term roles available as well. Must possess the following work experience.



The Medicare AR Billing Representative is responsible for assisting the provider with collection of payments due for the hospital service from the payer. The ideal candidate should have 2-3 years Medicare reimbursement experience in a hospital or institutional setting. The candidate should be organized, punctual and detail oriented, with a strong knowledge of Medicare regulations and provisions along with knowledge of ICD9 and CPT codes. Excellent follow-up and troubleshooting skills are required.



DUTIES AND RESPONSIBILITIES



? Follow up on all Medicare claims from billing through final resolution.

? Review and prepare claims for electronic billing submission.

? Identify billing errors for correction and resubmit via adjustment or new submission.

? Review Medicare Remittance advice for payment errors, rejections and denials.

? Initiate appeals.

? Act cooperatively and responsibly with co-workers, management and clients.

? Keep current with Medicare regulations and procedures.

? Maintain a professional attitude.

? Maintain confidentiality at all times.

? Communicate issues that are prohibiting claim adjudication to management for resolution

? Flexible to departmental and client changes



KNOWLEDGE AND SKILLS



? 2-3 years of experience in Medicare billing and collections.

? APC and DRG reimbursement knowledge

? Ability to work well in a team environment

? Strong computer skills in medical billing systems

? Strong communication skills

? PLUS working knowledge of Epremis/Relay Health and Meditech System



For immediate consideration, please apply today! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status. More...

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