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

The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables. Contacts government or commercial healthcare insurance companies to follow up on outstanding accounts receivable. 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.