Oncology and Specialty Infusion Accounts Receivable Representative

$41,600 - $52,000/Yr

Princeton Medical Group - Princeton, NJ

Full-time

Princeton, NJ

11-50 employees

Merchant Wholesalers, Durable Goods

About the position

As an Oncology and Specialty Infusion Accounts Receivable Representative at Princeton Medical Group, you will play a crucial role in our clinical operations. This full-time position is based in an office setting, where you will be responsible for managing all facets of accounts receivable. Your duties will include charge entry, payment posting, customer service, and follow-up in accordance with practice protocols. You will also be tasked with reviewing physician coding to ensure accuracy, timely payments, and maximizing revenue. Adherence to write-off policies, refund policies, and other accounts receivable policies is essential in this role. In addition to managing accounts receivable, you will provide information related to billing, coding, managed care networks, insurance carriers, and reimbursement to the manager. You will also process refunds to insurance companies and patients, monitor reimbursement and policy changes from managed care networks and insurance carriers, and ensure that reimbursement is consistent with contractual rates. This position requires a strong understanding of the healthcare billing landscape, particularly in oncology and specialty infusion settings. Princeton Medical Group is a private medical practice with over 30 providers and 8 medical specialties, dedicated to delivering excellent medical care with compassion. We are currently offering a $500 sign-on bonus for this position, along with a comprehensive benefits package that includes personal medical and dental insurance, a 401k and profit-sharing plan, life insurance, vacation time, and paid sick leave.

Responsibilities

• Responsible for all facets of accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol.
• Responsible for reviewing the physician's coding to ensure accuracy, timely payments, and maximize revenue.
• Strict adherence to write-off policies, refund policies and other accounts receivable policies.
• Providing information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to manager.
• Processing refunds to insurance companies and patients in accordance with practice protocol.
• Monitoring reimbursement and policy changes from managed care networks and insurance carriers to ensure reimbursement consistent with contractual rates.

Requirements

• Requires accounts receivable experience in a healthcare setting and knowledge of accounts receivable functions including CPT and ICD-10 coding, HCPCS, modifiers, coding and documentation guidelines.
• Requires strong working knowledge of managed care plans, insurance carriers, referrals and precertification procedures.
• General computer skills, typing skills, and a working knowledge of Medicare, Commercial Payer, and HIPAA Compliance.

Nice-to-haves

• Oncology and infusion billing experience (Preferred).
• Proficiency with Availity, Navinet, and other payer websites for eligibility verification and claim status to efficiently conduct accounts receivable follow-up and to maximize revenue.

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid sick time
• Profit sharing