ARS Representatitve Contract at Russell Tobin in Wall Township, New Jersey

Russell Tobin

๐Ÿ“Œ Wall Township, New Jersey
๐Ÿ•‘ January 22, 2021
๐Ÿท๏ธ Other
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ARS Representatitve Contract

Job title

Physician Biller Reports to Supervisor,

Physician Billing Job purpose The representative is responsible for charge capture and claim submission.
Duties and responsibilities

- Reviews Physician Office Charge entry to ensure that all charges for each date of service have been captured.

- Where appropriate, completes charge corrections into billing system based off office documentation.

- Meets and maintains daily productivity standards established in departmental policies.

- Meets and maintains quality standards established in departmental policies.

- Adheres to the policies and procedures established for the client/team.

- With working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies, verifies and ensures that the patients demographics are properly entered in the host system, corrects when necessary and verifies that proper authorizations are entered.

- Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results.

- Basic knowledge of healthcare claims submissions and processing including:
ICD-10, CPT, and HCPC codes, LC
D guidelines, rejections, clearinghouse, as well as 1500 forms.

- Ability to analyze, identify and resolve issues which may be causing payer payment delays

- Act cooperatively and courteously with patients, visitors, co-workers, management and clients.
- Maintain confidentiality at all times.
- Maintain a professional attitude.
- Other duties as assigned by the management team.


- Previous experience in Hospital/Facility or Physician billing : at least 1 year

- Experience with EClinical Works or EPIC PB preferred.

- Advanced knowledge of various types of insurance plans, CPT, ICD-10, billing guidelines.

- Strong understanding of professional claim invoicing such CMS 1500 and EDI (Electronic Data Interchange).

- Skilled with clearinghouse rejections, demographics, and modifiers.

- Understanding how to read an EOB - Ability to work well individually and in a team environment.

- Proficiency with MS Office (Excel, Word)

- Strong communication skills/oral and written

- Strong organizational skills, with a strong attention to detail.
Working conditions General office environment -
- While performing the duties of this job, the employee is occasionally required to move around the work area

- Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear

- The employee must be able to follow directions, to get along with others, and handle stress

- The noise level in the work environment is usually minimal Direct reports None FLSA status Administrative Support Workers
- Non-exempt

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Job Expires: February 21, 2021

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