Description

Billing Liaison

Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residential hospice, nursing school, and physician network. The system has a national reputation for providing culturally sensitive care to a diverse population, drawing patients from across the New York City region to its specialty centers and renowned doctors. Holy Name's mission to provide technologically advanced, compassionate and personalized care extends across a continuum that encompasses education, prevention, diagnosis, treatment, rehabilitation and wellness maintenance. The system is known as a high-quality, low-cost provider of extraordinary clinical care given by compassionate, highly trained physicians and staff.
A Brief Overview
Responsible for preparation of claims before submission and on going follow up with HPS staff.
What you will do

• Experience in CPT and ICD-10 coding
• Familiarity with medical terminology
• Denial Management
• Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles
• Ability to communicate with various insurance payers
• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
• Understanding of effective dates of health insurance policies and factors which affect patient eligibility
• Thorough understanding of deductibles, coinsurance, copays and out of pocket maximums
• Strong written and verbal skills
• Ensures that key functions are completed timely and accurately, and priorities are completed daily, including accurate data entry of demographic information and charge and payment posting.
• Keeps abreast of reimbursement procedures and insurance requirements and regulations and communicates necessary information to team members.
• Collaborate with the Billing Team, internal electronic systems and insurance companies to optimize and troubleshoot the payout of submitted claims
• Negotiate payout amounts with the insurance and third-party negotiators, exercising good judgement of when to accept and when to let offers lapse.
• Facilitate provider training on our processes and procedures.
• Demonstrate and value adherence to policies pertaining to patient privacy, following all HIPAA requirements.
• Other responsibilities as assigned

Education Qualifications

• High School Diploma Required

Experience Qualifications

• 1-3 years Two years of office experience with a financial background. Required and
• Prior billing experience Preferred and
• Experience with Microsoft Excel/Google Sheets Required and
• Experience with EMR systems. Required

Knowledge, Skills, and Abilities

• Must have superior customer service skills.
• Effective oral and written communication skills with prompt and professional response.
• Self-motivated with strong organizational skills and superior attention to detail.
• Must be able to manage multiple tasks when given.
• Ability to work independently, prioritize and self-direct workload, discern issues which require escalation.

Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name is an Equal Opportunity Employer.