Account Representative

Account Representative

Works with assigned insurance payers to ensure proper reimbursement on patient accounts and expedite resolution. Processes administrative and technical appeals, requests refunds, and handles reinstatements and rejections of insurance claims. Ensures proper escalation when accounts receivable are not collected in a timely manner. Completes daily account follow-up, maintaining established goals, and notifies Assistant Supervisor of issues preventing achievement of goals. Analyzes daily correspondence, including denials and underpayments, to appropriately resolve issues. Responds to written correspondence received from payers and patients. Stays current on all active, assigned accounts to prevent abandonment and uncollected receivables. Other duties as assigned.

Knowledge, Skills, and Abilities:

• Three (3) years of knowledge in HMO PPO/Commercial, Medicare or Medicaid/Government payers or business office setting.
• Uses discretion when discussing personnel/patient related issues that are confidential in nature.
• Is responsive to ever-changing matrix of hospital needs and acts accordingly.
• Typing skills equal to 27 words per minute net.
• Proficiency in performance of basic math functions.
• Communicates professionally and effectively in English, both verbally and in writing.

Education:

High School Grad or Equiv [Required]

Field of Study: in healthcare, business administration or related field

Pay Range: $16.63 $26.60