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.

Responsibility for analysis of the Physician billing functions for all HMH faculty practices. Assists the PB Billing Management with system testing, upgrades, modifications and mandated regulatory changes. Identifies billing issues and recommends possible solutions to increase productivity, maximize cash collections, and improve the revenue cycle.

Responsibilities

A day in the life of a Billing Analyst with Hackensack Meridian Health includes:

• Utilizes billing system reports for analysis, identifies trends and developments; presents findings to physician Billing Management.

• Assists with the resolution of the PB billing system and edit issues as they arise. Keeps Manager informed of all system issues and consults for direction as necessary.

• Performs testing for new or upgraded systems and applications; analyzes actual vs. expected results; performs root causes analysis as necessary; prepares written documentation, spreadsheets, and/or a summary of findings for Management as necessary.

• Assesses the impact of new billing requirements on the operation and recommends procedural or system changes as necessary. Assists with implementation of automation or other efficiencies upon identification of opportunities.

• Performs reconciliation of electronic transactions. Identifies errors and performs root cause analysis when rejections are identified; documents results.

• Performs or assists with specialized billing functions (i.e., list billing, cosmetic, global, research, hard copy attachments, grants); may assist with day to day billing functions when necessary.

• Provides assistance with maintaining current and accurate written departmental policies and procedures.

• Evaluates actual vs. planned performance and metrics, presents and communicates possible opportunities.

• Identifies and suggests resolution for problems involving departments which affect billing productivity or data quality.

• Maintains accurate notes and electronic documentation of findings; documents requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks.

• Initiates contact with insurance companies as necessary to investigate or resolve payer/edit issues.

• Maintains working knowledge of the claims scrubber system (currently OLIVE) and HMH main information system (i.e., EPIC).

• Adheres to HMH Organizational competencies and standards of behavior.

• Other duties and/or projects as assigned.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree or 10 years of related experience in Revenue Cycle Operations

• Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common medical billing practices, concepts, and procedures.

• Excellent analytical and critical thinking skills.

• Ability to work in a fast paced business office; must be able to coordinate multiple projects with multiple deadlines or changing priorities.

• Strong attention to and recall for details.

• Prior experience with an electronic billing system/claims editor.

• Must be highly organized and possess excellent time management skills.

• Excellent written and verbal communication skills.

• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

• Prior experience in a Patient Financial Services Department or Physician Billing Practice

• Extensive understanding of inpatient and outpatient billing practices.

• Experience with understanding and applying logic to claim rejections, edits, and errors.

• Experience with EPIC, or OLIVE

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

Job ID 2024-156715

Department Patient Access Specialist-Phys

Site HMH Physician Services, Inc.

Job Location US-NJ-Hasbrouck Heights

Position Type Full Time with Benefits

Standard Hours Per Week 40

Shift Day

Shift Hours Day

Weekend Work No Weekends Required

On Call Work No On-Call Required

Holiday Work No Holidays Required