Third Party Follow-up Representative

Overview

Our team members are the heart of what makes us better.

 

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

 

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

The Third Party Follow-up Representative performs follow-up procedures on unpaid third party accounts by accessing Payer Portals and calling insurance payers, where applicable.

Responsibilities

A day in the life of a Third Party Follow-up Representative at Hackensack Meridian Health includes:

• Performs account analysis to ascertain the required follow-up procedure.
• Researches suspended/pending claims and transfers information to the payer.
• Prepares report for payer for large volume of outstanding claims.
• Reports collection efforts/issues for high dollar accounts to management at monthly meetings.
• Processes third party vouchers and verifies accuracy and timeliness of payment.
• Reconciles managed care payments to the explanation of benefits to determine patients' responsibility and performs comparison to managed care contract for accuracy.
• Initiates aging reports by financial class in order to identify problematic areas and accelerate cash flow.
• Resubmits claims to payers via hard copy, fax, or electronic medium.
• Contacts physician offices and/or patient and other hospital departments to secure the appropriate information (referrals, notifications, pre-authorizations, and any other required documentation for the payer) in order to process the claim.
• Other duties and/or projects as assigned. 
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 1+ years of experience in revenue cycle or equivalent experience.
• Strong written and verbal communication skills.
• Detail-oriented and organized.
• Demonstrated computer literacy.

Education, Knowledge, Skills and Abilities Preferred:

• Some post-secondary education.
• Knowledge of EPIC.
• Experience with Google applications.

Licenses and Certifications Required:

• Successfully pass completion of EPIC assessment within 30 days after Network access granted.

If you feel the above description speaks directly to your strengths and capabilities, then please apply  today!

Starting Minimum Rate

Minimum rate of $27.13 Hourly

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.