Claims Adjudication Rep Level 1 Full-Time Day Shift 22343

Join Our Team at New Bridge Medical Center!**

We are dedicated to providing high-quality compassionate care to our diverse community. As a leading healthcare provider we offer a supportive and inclusive work environment. If youre passionate about making a difference and thrive in a collaborative setting New Bridge Medical Center is looking for a Claims Adjudication Rep.

Job Duties

Process all 835 remittance files in the Paragon system and all other related duties.

Post all hard copy payments to the Paragon system.

Process telephone payment requests.

Accept window payments.

Handle petty cash transactions for Patient Transportation requests.

Prepare daily bank deposit for all monies received and posted to the system.

Index all scanned payments in the Horizon Patient Folder application.

Review all remittance statements in comparison to the estimated amount due on the specific patient account. Flag accounts with variances which must be forwarded to the AR Management representative utilize ticklers to do so.

Monitor auto secondary crossovers information on remittance to Paragon payor information if not matching alert AR and EDI team for system updates and required billing.

Post contractual allowances where required.

Satisfy payor in Paragon wherever payment matches expected reimbursement amount.

Monitor PCON reports for payment variances.

Understands and adheres to departmental policies and procedures.
Adheres to the Medical Centers Code of Conduct.

Familiar with the Medical Centers Mission Vision and Value statements.

Customer Service: respect flexibility knowledge confidence professionalism pleasant attitude patience and helpfulness. All responses should be timely professional caring and respectful in accordance with Customer Service Performance expectations

Maintains established departmental policies and procedures objectives quality assurance program safety environmental and infection control standards. Assesses gaps in policies and procedures and create necessary policies and procedures to fulfill these gaps.

Understands and adheres to the Medical Centers Code of Conduct.

Familiar with the Medical Centers Mission Vision and Values Statements.

Other Duties
Attends required meetings
Assists in training of new and established employees
Performs other duties as assigned to support the overall objectives of the department and organization.

Position Qualifications
Minimum of 6 months experience in medical billing procedures with familiarity with third party insurer regulations required.
Minimum of 6 months of experience as bank teller cashier in a hospital cashiers office clerical experience in an insurance company or clerical experience relating to insurance verification in physicians office required or suitable combination of education and experience.
Typing: 25 WPM.
Intermediate level computer skills required to include Excel and Word.
Computerized billing knowledge essential.
Good oral and written communication skills.
Good interpersonal skills.
Speaks reads and writes English to the extent required by the position.
Ability to plan and utilize time management skills.
Good organizational skills.

Education
High School graduation or equivalent required.

Job Setting/Physical Demands
Accounting office.
Mostly sedentary with occasional stooping stretching bending reaching kneeling.
Manual dexterity.

Salary commensurate with experience within posted range

$16.95/Hour

We provide a comprehensive benefits package including a competitive medical dental and vision plans. We prioritize work-life balance with a generous time off policy that includes ample vacation days personal time sick leave and nine paid holidays. Additionally we are committed to the personal and professional growth of our employees offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development.