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Under general supervision by the department’s Supervisor and Manager of Financial Data Analytics, this position is responsible for the accuracy and integrity of the revenue received to all sites at AHS. This position also provides communication regarding the quality monitoring of payments from payors, maintenance issues, along with providing education to team members, training, and follow-up to necessary payors for proper reimbursement.

Principal Accountabilities:

• Effectively analyzing Organizational AR to ensure proper and prompt reimbursement.

• Analyze hospital claim data to identify contractual underpayments and billing errors.

• Pursue underpayments with insurance provider representatives via monthly teleconference to effectively resolve complicated accounts where AHS is not in agreement with how the carriers processed the accounts.

• Provide management monthly payor reports to identify trending contractual issues.

• Compile queries and complex data sets to analyze payor reimbursement using Epic reporting tools.

• Maintain Payor Trend Analyst and Valid Payor Issue WQ’s housing trending issues and specific underpaid claims to be reviewed.

• Provide workbench reports as requested by management for reimbursement of specific services.

• Identify areas of needed improvement using the Director Detailed Dashboard to improve AR days and cash flow.

• Acts as liaison with all payors and works closely with the Managed Care team.

• Communicates with necessary ISS analyst to troubleshoot system issues.

• Performs other duties as assigned.

Education:

• College Degree preferred

Requirements:

• 3-5 years of hospital billing experience with Medicaid or Managed Medicaid preferred

• Candidate must have excellent communication skills and articulate in a clear and concise manner

• Must be proficient in Word, Excel and other various Microsoft applications

• Must maintain high quality standards (timely and accurate processing of information) and positive employee relations

ABOUT US

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

• Morristown Medical Center, Morristown, NJ

• Overlook Medical Center, Summit, NJ

• Newton Medical Center, Newton, NJ

• Chilton Medical Center, Pompton Plains, NJ

• Hackettstown Medical Center, Hackettstown, NJ

• Goryeb Children's Hospital, Morristown, NJ

• CentraState Healthcare System, Freehold, NJ

• Atlantic Home Care and Hospice

• Atlantic Mobile Health

• Atlantic Rehabilitation

We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

• 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years

• Best Places to Work in Healthcare - Modern Healthcare

• 150 Top Places to work in Healthcare - Becker's Healthcare

• 100 Accountable Care Organizations to Know - Becker's Hospital Review

• Best Employers for Workers over 50 - AARP

• Gold-Level "Well Workplace": Wellness Council of America (WELCOA)

• One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine

• One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine

• Official Health Care Partner of the New York Jets

• NJ Sustainable Business

  EEO STATEMENT

  Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.