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Data Integrity Specialist (Part-Time Day)

Company: RWJ Barnabas
Location: Toms River
Posted on: May 3, 2021

Job Description:

Community Medical Center seeks a Data Integrity Specialist (Part-Time Day)!

Community Medical Center, an affiliate of RWJBarnabas Health System, is a 592-bed, fully accredited acute care hospital offering area residents world-class medical treatment with the comforts of hometown care. Opened in 1961, CMC has evolved into the state s largest non-teaching hospital and Ocean County s largest and most active health care facility caring for over 24,200 inpatients, 142,500 outpatients and 81,400 emergency department patients each year. Community Medical Center is dedicated to advancing the quality of life and health of our community while delivering compassionate care for our patients. Our core values include: Compassion, Quality, Accountability, Integrity, Diversity and Teamwork.

In this key role, the Data Integrity Specialist supports the Patient Financial Services Department leadership with key operational, administrative and revenue cycle functions.

  • Coordinates multiple patient account related activities and functions at the site for timely resolution and process improvement.
  • Involved with all account types and insurances and works in multiple systems and capacities, to monitor effectiveness and make recommendations for error remediation and performance improvement.
  • Assist management team with correspondence requests from insurance companies as part of credentialing and audits.
  • Monitor, track and trend account rejections and denials data for process improvement, appeals and educational needs.
  • Supports the Revenue Cycle process through reviewing clearance status on High Dollar and Surgical related cases prior to their date of service.
  • Assists with complicated self-pay patient estimates.
  • Communicates with patients, physicians, insurances, clinical departments and administration on the readiness of accounts for the next day of service.
  • Coordinates billing related patient complaint resolution.

Position Requirements:

  • High School Diploma, or equivalent.
  • Knowledge of medical terminology and all types of medical insurances.

Schedule:

  • 20 hours per week
  • Monday Friday
  • 8AM 12PM

At Community Medical Center, you will find a progressive health care organization offering a comprehensive array of wellness and medical services including world-class cancer, diabetes, emergency, and cardiac care. We are one of the area s most trusted providers of maternal and child health services, offering superior obstetric services, a Level 2 special care nursery, and a dedicated pediatric unit. We maintain award-winning centers of excellence for women, children and seniors. The centers offer support groups in addition to fitness and wellness programs, to enhance the overall health of every member of our community.

EOE

Keywords: RWJ Barnabas, Brick , Data Integrity Specialist (Part-Time Day), Other , Toms River, New Jersey

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