Atlantic Health System

Non-profit healthcare provider with physician network

Patient Financial Services Representative - Financial Services

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Part-timeMorristown, NJ, USA$25.18 - $41.57 /hrIn-person

About the Job

Requirements

A high school diploma or GED is required.
Keyboard and data entry skills are required.
Strong communication and customer service skills are required.

Responsibilities

Manage work queues to resolve errors and ensure payer accuracy, taking responsibility for complex cases.
Contact insurance companies directly to validate required corrections or updates.
Contact liaisons and patients, clinical staff, family members, or caregivers as needed.
Involve the clinical team, including clinicians, assistant managers, and managers, as needed, and document this involvement in work-queue notes.
Add specific notes to deferred cases for peer follow-up, including case details and status.
Coordinate with billing and operations departments to address interdepartmental issues, including payer changes.
Resolve coordination-of-benefits issues and take ownership of the resolution.
Use EPIC to review documentation related to coordination of benefits.
Work with liaisons, family members, or caregivers to ensure coordination-of-benefits information is accurate.
Pull, complete, and verify the MSPQ; when information cannot be determined, attempt to verify it with the patient, family, or caregiver.
Re-verify coverage annually, monthly, or when potential insurance changes arise.
Complete re-verification online or by phone.
Request a ticket for plan mismatches requiring EPIC mapping.
Check connectivity status, rerun the process, and use eSolutions for Medicare.

Desired Qualifications

Experience in insurance verification with home care and hospice is preferred.

Duties & Responsibilities:

1. Work queue Management for Error Resolution and Accuracy of Payers:

Assumes responsibility for complex cases
Contacts Insurance Co directly to validate needed corrections or updates
Direct contact with Liaison and/or Patient/Clinical /Family/Caregiver as needed
Clinical Team involvement as needed to include Clinician, Assistant Manager and Manager (documented in WQ notes)
Specific notes added to deferred cases for peer to peer f/u, case details and status
Coordination with billing/operations department for all inter-departmental issues including Change of Payers.

2. Coordination of Benefits:

Knowledge of COB issues and assumes responsibility for resolution
Knowledge of EPIC navigation for documentation review
Works directly with Liaison/Family/Caregiver for accurate COB
Specialist will have full ownership
MSPQ pulled, completed and verified. If unable to determine, attempts to verify with the patient/ family/ caregiver will commence.

3. Re-Verification:

Knowledge of reason for re-verification, annually, monthly, or for potential insurance changes
Completed on-line or by phone
Plan Mismatch- ticket required for EPIC mapping
Connectivity – check status, re-run and use eSolutions for Medicare

High school diploma or GED
Keyboard and data entry skills
Excellent communicative and customer service skills
Experience in Insurance Verification with Homecare and Hospice preferred.

Minimum Salary (Hourly Rate): 25.180000

Maximum Salary (Hourly Rate): 41.570000

Salary Admin Plan: CLE

About the Company

Atlantic Health System

Non-profit healthcare provider with physician network

Atlantic Health System is a large non-profit healthcare network in New Jersey that runs hospitals, outpatient centers, urgent care clinics, and a physician-led group called Atlantic Medical Group with more than 1,000 doctors across 300 locations. It provides a full range of medical services to communities in New Jersey and New York and lets patients manage care through the MyChart portal, which handles medical records, appointments, and bill payments. Its business model puts earnings back into its healthcare services and facilities, reinvesting to improve care access and community health. The system differentiates itself by being a broad, integrated network of facilities and a large physician group under a nonprofit umbrella, offering coordinated care across many sites. Its goal is to improve community health by delivering comprehensive care and continually expanding access to high-quality medical services.

Company size: 5,001-10,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Morristown, NJ
Founded: Not listed

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