Billing Clerk, Long Term Care - Full Time

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.

 

Responsible for long-term care pharmacy billing functions as assigned by the Billing Manager.  Will work as a liaison with long term care facility customers to address concerns with monthly invoices or with resident's bills.

Responsibilities

A day in the life of a Billing Clerk, Long Term Care at Hackensack Meridian Health includes:

• Communication with customer facilities to establish new and revised patient billing status information.
• Entry of and maintenance of patient billing status in Framework LTC pharmacy system.
• Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy system.
• Skilled Nursing Facility, Assisted Living Facility and Private pay claim billing
• Troubleshoot rejected insurance claims resulting in payments
• Prior Authorizations required from Third Party Insurance
• Bill/Invoice Review
• Medicaid Pending Status Review
• Updated Skilled Nursing Facility Census and Resident Payer Status
• Process Private Pay refunds
• Collections on accounts
• Process Credits/Returns
• Projects as needed
• Customer Service orientated (external and internal)

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of one (1) year of medical billing/collections experience
• Excellent customer service and phone skills.

Education, Knowledge, Skills and Abilities Preferred:

• Minimum of two (2) years of experience with Framework LTC
• Long-term care experience
• GSuite (Docs, Sheets, and GMail) proficiency

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

Starting Minimum Rate

Minimum rate of $20.64 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.