Medical Billing and Collections Representative

  • Location
    Neptune , New Jersey
  • Salary
    $ 17 - $ 19
  • Category
    Office, Clerical & Administrative - Collections
  • Job type
    Contract/Temp to Hire

Adecco is urgently seeking Medical Collections Representatives to assist a reputable revenue recovery service located in Neptune, NJ.

The Representative is responsible for collections, account follow up, and billing allowance posting for the accounts assigned to them

Duties and Responsibilities include:
- Following-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
- Meeting and maintaining daily productivity standards established in departmental policies
- Meeting and maintaining quality standards established in departmental policies
- Using the MPower workflow system, client host system and other tools available to them to collect payments and resolve accounts
- Adhering to the policies and procedures established for the client/team
- Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies - Performing special projects and other duties as needed.
- Assisting with special projects by utilizing excel spreadsheets, and the ability to communicate results.
- Identifying and reporting underpayments and denial trends
- Initiating appeals when necessary
- analyzing, identifying and resolving issues causing payer payment delays
- Acting cooperatively and courteously with patients, visitors, co-workers, management and clients.
- Maintaining confidentiality at all times
- Maintaining a professional attitude
- Understanding and complying with Information Security and HIPAA policies and procedures at all times
- Using, protecting and disclosing patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Limiting view of PHI to the absolute minimum as necessary to perform assigned duties.

Qualifications include:
- 3 years’ experience in insurance collections, including submitting and following up on claims
- Experience in Hospital/Facility billing
- Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04
- The ability to work well individually and in a team environment.
- Proficiency with Microsoft Office
- Strong communication skills/oral and written
- Strong organizational skills

Pay Rate: $17-$19 per hour


  • Apply with Adecco

Reference number US_EN_1_177600_11685718