Under general supervision by the department’s Supervisor, Team Lead, and Manager of Reconciliation and Reimbursement, this position is responsible for the accuracy and integrity of all monies received to AHS. Obtain status on Non-Governmental outstanding accounts receivable, EOBs and follow up with insurance payors on claims Reviewing contracts for accurate payments and identifying payor trend issues with payment or codes. Ability to understand insurance terms, (i.e. HMO, PPO, EOB, Remit, Stop Loss, etc). Strong data and organization skills Notate all accounts with outcome/resolution and/or next steps Extensive insurance follow-up for various insurance plans Working denials, submitting appeals, and correcting claims thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements. Insurance refund processing Overall awareness of specific insurance plans accounts receivable issues. Ensure insurance information is entered on accounts accurately regarding primary, secondary and tertiary coverage that is received from patients. Performs all other duties as required by the supervisor/manager. Must maintain up-to-date knowledge of departmental policies and procedures by attending department meetings and trainings (online and classroom). Associate or Bachelor’s degree from an accredited College or University Minimum of 1 years’ experience in Healthcare Operations Strong negotiation, collection, and phone skills. Excellent communication skills; must be able to articulate in a clear and concise manner. Demonstrates computer keyboard, word processing, spreadsheet skills, and multiple system skills enough to meet job criteria and goals Demonstrates ability to perform data entry and clear communication to multiple levels of the organization Planning and organizational skills that give the candidate the ability to multi-task, prioritize work, support and accept direction for multiple sources, and perform detailed tasks with efficiency and accuracy #LI-JS1 ABOUT US At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical Center, Summit, NJ + Newton Medical Center, Newton, NJ + Chilton Medical Center, Pompton Plains, NJ + Hackettstown Medical Center, Hackettstown, NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: + 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years + Best Places to Work in Healthcare - Modern Healthcare + 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well Workplace": Wellness Council of America (WELCOA) + One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine + One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine + Official Health Care Partner of the New York Jets + NJ Sustainable Business 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.