Medical Insurance Billing and Accounts Receivable Representative - (Saddle River, NJ)

The Medical Insurance Billing and Accounts Receivable Representative bills patient accounts to the appropriate government or commercial healthcare insurance company for payment and ensures the timely collection of insurance receivables. Follows up on all claims from billing through final resolution. Reviews and prepares claims for manual and/or electronic billing submission. Identifies billing errors for correction and resubmits claims to insurance carriers. Follows up on payment errors, low reimbursement and denials. Reviews insurance EOB’s and initiates appeals as necessary. Prints and mails UB04s or HCFA 1500s as necessary for account resolution. Remains up to date with all commercial and managed care pricing models, rules and regulations. Remains up to date with all Medicare and Medicaid rules and regulations. Supports nThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to nThrive’s business practices.