Customer Service Representative, Full time, Toms River (Community Medical Center), NJ Req #: 0000180023
Category: No Category Assigned
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Patient Financial Services
Location: SBC Corporation, 99 Highway 37 West, Toms River, NJ 08755

Job Overview:

The Financial Counselor conducts financial screenings of patients in order to secure payment for healthcare services for those that are uninsured and underinsured.

Qualifications:

Required:

High School Diploma or GED equivalent required within one (1) year of hire.Candidates who do not possess a High School Diploma or GED equivalent will be provided the opportunity to enroll in a GED/HSEA program at time of hire as a condition of employment. A hired candidate will be provided one (1) year from date of hire to successfully complete a GED program and obtain their HSEA.4+ years Similar hospital billing or accounting experienceKnowledge of Charity Care. Uncompensated Care, and Medicaid guidelines and regulationsKnowledge of medical terminology and insurance verification preferredCandidate must be detail-orientedComputer experience requiredA minimum of three years insurance authorization/pre-certification experience required.Knowledge of insurance, insurance verification and TOS collectionsAbility to communicate effectively.Bilingual preferred

Preferred:

Prior experience in hospital admissions preferredBilingual preferred

Scheduling Requirements:

Shift working, 9:00am-5:00pm each dayMonday - Friday Full-time, onsiteRotating Weekends and holidays required

Essential Functions:

Identifies the appropriate payment source, which may include patient payment, enrollment in government programs including Medicaid and Charity Care or other payment sources. Daily tasks include inpatient and bedded patient account review, authorization and benefit determination, creating estimates and collecting point of service cash when appropriate, providing timely and appropriate referrals for various state medical assistance programs, collecting all necessary documentation and patient signatures and verifying commercial payers including updating the patients financial record in the appropriate HIS.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Additional Information:

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

Paid Time Off (PTO) Medical and Prescription Drug InsuranceDental and Vision InsuranceRetirement PlansShort & Long Term DisabilityLife & Accidental Death InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet Insurance)Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer