Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to: Review AR reports.
Prioritize work based on age and balance of accounts to avoid timely filing denials.
Review correspondence and EOBS and take appropriate action.
Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.
Submit appeals and corrected claims as necessary.
Prepare and submit payor projects.
Maintain open communication with patients to keep them informed of any issues with their claims.
Request necessary information from patients and physicians to expedite claim processing.
Negotiate prompt pay discounts.
Request adjustments, transfers and reversals with the proper justification.
Identify accounts that need to be sent to collections in a timely manner.
Communicate payor trends to management.
Working knowledge of DME medical policies.
All other duties as deemed necessary.
Required: High school diploma or equivalent AHS Investment Corporation (AHSIC) is the wholly owned for-profit subsidiary of Atlantic Health System (AHS).Our Business Units
AtHome Medical – a Durable Medical Equipment Company, combining professional services and high-quality medical products.
Atlantic Private Care Services - a private duty Nursing and Home Health Aide service provider, servicing the NJ counties of Morris, Essex, Union and Sussex.
Real Estate Division – Commercial Property and Residential Housing ownership and management services for AHSIC and AHS.
MSO – Management Services to a variety of healthcare enterprises, such as Atlantic Mobile Health/ Atlantic Ambulance, Primary Care Partners, Atlantic Health Partners, AHS ACO LLC, and others.
Eagle Ambulance – a private ambulance company.
Joint Ventures – Investment interests with various healthcare organizations.
AHa! Innovation Center – an incubator designed to promote and commercialize innovation in the health care arena.
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.