Find & Apply For Billing Clerk / Specialist Jobs in Bridgeton, New Jersey

Job Description Insight Global is seeking a Revenue Cycle Specialist with Pharmacy experience to join a hospital system based in South Jersey. In this role, you will execute end-to-end retail pharmacy AR workflows within Epic Professional Billing including reconciliation and follow-up. You will monitor work queues within Epic PB and reconcile payer remittances (835). You will also manage denials, investigate and resolve credit balances and coordinate refund requests. From an analytics perspective, you will track and report on trends as it relates to AR and identify/voice gaps in workflow or build-related issues impacting revenue cycle performance. This role is primarily remote but must be relatively local to South Jersey in case of a need onsite. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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•  2+ years of experience operating in a Revenue Cycle environment within a Pharmacy group for any healthcare organization
•  Hands-on experience with pharmacy billing or PBM workflows
•  Hands-on experience with denials, reconciliation, and prior auth
•  Hands-on experience with EOBs, claim edits, and payment variances
•  EMR system exposure (Epic, Cerner, etc.)
•  Certified Coder o RHIT, RHIA, CCS, CPC, or COC
•  Bachelors Degree
•  PTCB Billing and Reimbursement Certificate