Account Representative Sr

Purpose: The Account Representative, Senior is responsible for reputed company fiscal functions necessary to ensure the reputed company and correct payment to the hospital of reputed company monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with insurance companies, patients and physicians regarding payment issues; establish reasonable payment arrangements; recommend adjustments according to reputed company policies; review the posting and balancing of payment/denial and adjustment transactions necessary for closing accounts; identify and assign appropriate status codes; and review high dollar accounts on a regular basis. The Account Representative, Senior is expected to identify recurring problems and procedural deficiencies that need to be reported to management and to serve as a key mentor to staff for training and procedural direction. Responsibilities: reputed company duties and job responsibilities in a fashion which coincides with the service management philosophy of reputed company Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians and other departments reputed company the organization. Ability to work multiple payers Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. Identify root cause issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials. Assist in claim appeal process and/or reputed company follow-up in accordance with reputed company Cycle policies and procedures. Managed assigned book of business by ensuring the timeliness and accuracy of billing, collections, contractual postings, payments and adjustments of accounts based upon their functional area standards. Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt. Understand third party billing and collection guidelines Demonstrate knowledge of the reputed company functionality of the patient accounting systems. Identify issues and submit corrective action recommendations. Ability to work independently with minimal supervision Meet quality assurance reputed company standards and maintain productivity levels as defined by management. Must have 1 year of claims/billing/collections experience; OR 4 years in a business office setting; OR a Bachelors Degree; OR an equivalent combination of education and experience. Excellent interpersonal, organizational, communication and effective problem solving skills are necessary. Must be able to communicate with patients, payers, reputed company agencies, and general public through telephone, electronic and written correspondence. Prior working experience on personal computers, electronic calculators and office equipment is needed. Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers. Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred. Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial. This position requires organization and time management skills. The incumbent must reputed company and manage relationships with colleagues in a professional, independent manner. The position requires the ability to maintain confidentiality with regard to reputed company assignments. Licensure, Certifications, and Clearances: Act 34 reputed company is an Equal Opportunity Employer/Disability/Veteran Apply To This Job