Patient Financial Service Representative - Full Time - Days - AHSIC

Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:

• Run AR reports independently.

• Review, analyze and compare information on reports.

• Prioritize work based on age and balance of accounts to avoid timely filing denials.

• Review correspondence and EOBS and take appropriate action.

• Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.

• Submit appeals and corrected claims as necessary.

• Prepare and submit payor projects.

• Answer calls and inquiries from patients to keep them informed of any issues with their claims.

• Request necessary information from patients and physicians to expedite claim processing.

• Negotiate prompt pay discounts.

• Request adjustments, transfers and reversals with the proper justification.

• Identify accounts that need to be sent to collections in a timely manner.

• Communicate payor trends in a timely manner.

• Work collaboratively with other departments to create a smooth patient experience.

• Working knowledge of DME medical policies.

• All other duties as deemed necessary.

AHS Investment Corporation (AHSIC) is the wholly owned for-profit subsidiary of Atlantic Health.

Our Business Units

• AtHome Medical - a Durable Medical Equipment Company, combining professional services and high-quality medical products.
• Atlantic Private Care Services - a private duty Nursing and Home Health Aide service provider, servicing the NJ counties of Morris, Essex, Union and Sussex.
• Real Estate Division - Commercial Property and Residential Housing ownership and management services for AHSIC and Atlantic Health.
• MSO - Management Services to a variety of healthcare enterprises, such as Atlantic Mobile Health/ Atlantic Ambulance, Primary Care Partners, Atlantic Health Partners, AHS ACO LLC, and others.
• Eagle Ambulance - a private ambulance company.
• Joint Ventures - Investment interests with various healthcare organizations.
• AHa! Innovation Center - an incubator designed to promote and commercialize innovation in the health care arena.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, 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.

High school diploma or equivalent

Some college preferred

• Must be proficient in MS Office Suite
• Must be organized and have the ability to work independently, identify and solve problems.
• Excellent verbal and written communication skills
• 1 year billing/collections experience in the medical field preferred
• Ability to read, interpret and apply medical policies.
• Review payer projects utilizing Excel and reporting tools.