Hospital- Insurance Verification

Affiliated HealthCare Management Group, LLC - Clifton, NJ (30+ days ago)

Company Overview: Affiliated Healthcare Management Group, LLC. Is a provider of revenue cycle management programs to the healthcare industry in the following areas: Medicaid and Patient Advocacy, Charity Care, Self-Pay Account Receivable Management Services, Insurance Billing, Customer Service and Follow up Services.

Job Description:

  • Reviews and analyze accounts receivable trends, detecting payment problems and initiates corrective action.
  • Create, implement and audit patient account processes to ensure timeliness, accuracy and compliance in order to maximize reimbursement.
  • Monitors, reviews and evaluates all components of the hospitals billing system.
  • Maintains responsibility for receiving, processing, posting and reconciliation of all cash receipts and adjustments to accounts receivable according to acceptable accounting principles.
  • Ensures that all denials are properly worked by the PFS staff and/or denials team with resolution within payer determined time frames; identifies and contacts appropriate personnel for additional information.
  • Acts as liaison to other departments to facilitate information sharing, problem solving and new program development.

Qualifications and Skills

  • Experience with various technologies and systems used in patient accounting
  • Proficient knowledge of all Microsoft office products, , PowerPoint, Access and Excel
  • Ability to communicate effectively and work collaboratively with peers/other disciplines*Organizational and priority setting skills
  • Skilled at staff development and team building
  • Skilled in communication , collaboration and negotiation
  • Skills in decision making and problem solving
  • Ability to read and understand Explanation of Benefits(EOB)’s
  • Ability to identify problematic trends with accounts
  • Ability to productively and effectively work in a fast paced environment and the ability to handle multiple priorities and once with minimal supervision
  • Maintains compliance with HIPAA and all patient confidentiality standards


Affiliated offer’s Dental, Vision, Life Insurance, Vacation and Sick Pay

Job Type: Full-time


  • Insurance Verification: 2 years (Preferred)


  • High school or equivalent (Preferred)

Work authorization:

  • United States (Preferred)


  • Morning (Preferred)