Student Veterans of America Jobs

Description

Join Our Team at New Bridge Medical Center!**We are dedicated to providing high-quality, compassionate care to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive work environment. If you’re passionate about making a difference and thrive in a collaborative setting, New Bridge Medical Center is looking for a Claims Adjudication Representative.

Job Duties

Process all 835 remittance files in the Paragon system, and all other related duties.Post all hard copy payments to the Paragon system. Process telephone payment requests.Accept window payments.Handle petty cash transactions for Patient Transportation requests.Prepare daily bank deposit for all monies received and posted to the system.Index all scanned payments in the Horizon Patient Folder application.Review all remittance statements in comparison to the estimated amount due on the specific patient account. Flag accounts with variances which must be forwarded to the AR Management representative, utilize ticklers to do so.Monitor auto secondary crossovers information on remittance to Paragon payor information, if not matching, alert AR and EDI team for system updates and required billing.Post contractual allowances where required.Satisfy payor in Paragon wherever payment matches expected reimbursement amount.Monitor PCON reports for payment variances.Understands and adheres to departmental policies and proceduresAdheres to the Medical Center’s Code of Conduct.Familiar with the Medical Center’s Mission, Vision and Value statements.Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectationsMaintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards. Assesses gaps in policies and procedures, and create necessary policies and procedures to fulfill these gaps.Understands and adheres to the Medical Center’s Code of Conduct.Familiar with the Medical Center’s Mission, Vision, and Values Statements.

OTHER JOB DUTIESAttends required meetingsAssists in training of new and established employeesPerforms other related duties as required.

BASIC COMPETENCIESEducationHigh school graduation or equivalent required.

ExperienceMinimum of 6 months experience in medical billing procedures, with familiarity with third party insurer regulations required.Minimum of 6 months of experience as bank teller, cashier in a hospital cashiers office, clerical experience in an insurance company, or clerical experience relating to insurance verification in physician’s office required, or suitable combination of education and experience

SkillsTyping: 25 WPM.Intermediate level computer skills required, to include Excel and Word.Computerized billing knowledge essential.Good oral and written communication skills.Good interpersonal skills.Speaks, reads and writes English to the extent required by the position.Ability to plan and utilize time management skills.Good organizational skills.JOB SETTING/PHYSICAL DEMANDSAccounting office. Mostly sedentary with occasional stooping, stretching, bending, reaching, kneeling.Manual dexterity.

We provide a comprehensive benefits package, including a competitive medical, dental, and vision plans. We prioritize work-life balance with a generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays. Additionally, we are committed to the personal and professional growth of our employees, offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development

Qualifications

Education

Required

• High School or better in Diploma/GED

Experience

Required

• Computerized billing knowledge .

• Intermediate level computer skills required, including Excel and Word.

• Typing 25 words per minute.

• Bank teller, cashier in a hospital cashiers office, clerical experience in an insurance company, or clerical experience relating to insurance verification in physician’s office required, or suitable combination of education and experience.

• Familiarity with third party insurer regulations .

• 1 year: Medical billing procedures.