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Form of workJob Description
Account Representative
Immediate opening for 2 Account Representatives
The duties of the Account Representative include:
• Initiates calls or online web contact to payors or guarantors to verify receipt of claims/statements and collect on outstanding accounts receivables.
• Documents follow-up activities, conversations with payors/guarantors, information obtained via the web contact, and any correspondence in the account notes.
• Ensures payments received by third party payors are correct and the correct contractual discounts/allowances have been applied according to the contract matrix or government reimbursement rates.
Ensures that all accounts associated with that guarantor and payor relationship are resolved.
• Analyzes and assesses accounts for outstanding balances and makes prudent decisions on appropriate actions needed to resolve the balance
• Identifies and reports inaccurate reimbursement and contractual trends to Sr. Reps, Team Lead, or Manager.
• Refers problem accounts to Sr. Rep, Team Lead or Manager prior to accounts becoming 60 days old.
Documents the issues in detail and refers to Sr. Rep, Team Lead or Manager with a recommendation of action needed.
Provides continual follow-up.
• Assists with special projects to ensure that collection, work queue, and departmental goals are met.
To qualify for the Account Representative, you must have:
High School Diploma
Required 2 years revenue cycle experience with 2 years’ experience with the following:
Gov: Physician Revenue Cycle and Insurance Collections experience for government entities – Traditional Medicaid and Managed Medicaid Plans – is required and Out-of-State Medicaid is a plus.
2 years appealing insurance claim denials, underpayments, and understanding root cause analysis of insurance related activities.
Billing and general pediatric facilities is a PLUS
2 years Experience with Excel and Epic
**Applicants who do not have physician insurance collections experience and a minimum of 2 years of current job history will not be considered.
Training will take place in office for up to 8 weeks. Remote positions require adherence to Telecommute policy.Documentation, Microsoft Excel, Training, Procedures, Policy, Payment Processing, Planning Processes, Quality, Insurance, Medical Coverage, Benefit Functions, Billing, Collection Processes, Claim Administration, Regulation, Facility, Financial Notes, Answer, Clinical Trial Operations, Receipt, Web App, Interpersonal Skills, Lead Special Projects, Reimbursements, Decision-Making
Immediate opening for 2 Account Representatives
The duties of the Account Representative include:
• Initiates calls or online web contact to payors or guarantors to verify receipt of claims/statements and collect on outstanding accounts receivables.
• Documents follow-up activities, conversations with payors/guarantors, information obtained via the web contact, and any correspondence in the account notes.
• Ensures payments received by third party payors are correct and the correct contractual discounts/allowances have been applied according to the contract matrix or government reimbursement rates.
Ensures that all accounts associated with that guarantor and payor relationship are resolved.
• Analyzes and assesses accounts for outstanding balances and makes prudent decisions on appropriate actions needed to resolve the balance
• Identifies and reports inaccurate reimbursement and contractual trends to Sr. Reps, Team Lead, or Manager.
• Refers problem accounts to Sr. Rep, Team Lead or Manager prior to accounts becoming 60 days old.
Documents the issues in detail and refers to Sr. Rep, Team Lead or Manager with a recommendation of action needed.
Provides continual follow-up.
• Assists with special projects to ensure that collection, work queue, and departmental goals are met.
To qualify for the Account Representative, you must have:
High School Diploma
Required 2 years revenue cycle experience with 2 years’ experience with the following:
Gov: Physician Revenue Cycle and Insurance Collections experience for government entities – Traditional Medicaid and Managed Medicaid Plans – is required and Out-of-State Medicaid is a plus.
2 years appealing insurance claim denials, underpayments, and understanding root cause analysis of insurance related activities.
Billing and general pediatric facilities is a PLUS
2 years Experience with Excel and Epic
**Applicants who do not have physician insurance collections experience and a minimum of 2 years of current job history will not be considered.
Training will take place in office for up to 8 weeks. Remote positions require adherence to Telecommute policy.Documentation, Microsoft Excel, Training, Procedures, Policy, Payment Processing, Planning Processes, Quality, Insurance, Medical Coverage, Benefit Functions, Billing, Collection Processes, Claim Administration, Regulation, Facility, Financial Notes, Answer, Clinical Trial Operations, Receipt, Web App, Interpersonal Skills, Lead Special Projects, Reimbursements, Decision-Making
