Account Representative Sr

We need to output HTML fragment with sections for headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if there is real specific content. The posting includes a "Purpose" paragraph describing role. Could treat as About the role. Then "Responsibilities:" list. Then qualifications: "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." Also "Excellent interpersonal, organizational, communication and effective problem solving skills are necessary." etc. Also "Prior working experience on personal computers, electronic calculators and office equipment is needed." Also "Must be multi-disciplined in billing, collections, denials, credit balances and/or the various payers." Also "Prior collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred." Also "Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial." Also "This position requires organization and time management skills." Also "The incumbent must develop and manage relationships with colleagues in a professional, independent manner." Also "The position requires the ability to maintain confidentiality with regard to all assignments." Also "Licensure, Certifications, and Clearances: Act 34" plus EEO line which we should remove (boilerplate). So we have content for Requirements/Qualifications/Skills. We need to decide which headings to use. The instruction: use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We can combine overlapping content. Probably we have About the role (purpose), Responsibilities (list), Requirements (experience/education), Qualifications (maybe skills?), Skills (maybe specific skills). But we should avoid thin sections. Let's see what we have: - About the role: purpose paragraph. - Responsibilities: bullet list of duties. - Requirements: experience/education requirements (1 year claims/billing/collections OR 4 years business office OR Bachelors OR equivalent). - Qualifications: maybe licensure/certifications (Act 34) and maybe other qualifications like confidentiality, relationships. - Skills: interpersonal, organizational, communication, problem solving, computer proficiency, multi-disciplined billing, knowledge of ICD9 etc, familiarity with third party payer guidelines, organization/time management, etc. We could combine Qualifications and Skills into one section? But instruction says prefer few substantive sections over many thin ones. We could have About the role, Responsibilities, Requirements, Skills (covering qualifications and skills). Or we could have About the role, Responsibilities, Requirements, Qualifications (including skills). Let's decide. We have enough content for Requirements (experience/education). For Skills we have many bullet-like items. For Qualifications we have licensure (Act 34) and maybe confidentiality etc. Could combine Qualifications and Skills into a single "Qualifications and Skills" but headings list only those specific ones; we could still use Skills heading and put all skill-related content there, and maybe put licensure under Requirements? But licensure is not experience/education. Could put under Requirements as well? Might be okay. Better: Use headings: About the role, Responsibilities, Requirements, Skills. Put licensure under Requirements? Or maybe under Requirements we can include "Licensure, Certifications, and Clearances: Act 34". That seems appropriate. Thus:

About the role

... purpose paragraph ...

Responsibilities

• ... each duty ...

Requirements

• ... experience/education ...
• Licensure, Certifications, and Clearances: Act 34

Skills

• ... interpersonal, organizational, communication, problem solving ...
• ... prior working experience on personal computers, electronic calculators and office equipment ...
• ... 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 ...
• ... organization and time management skills ...
• ... develop and manage relationships with colleagues in a professional, independent manner ...
• ... ability to maintain confidentiality with regard to all assignments ...

We must not include boilerplate like EEO, etc. Also remove duplicated lines. Ensure we preserve all substantive info. Now extract the purpose paragraph exactly: "Purpose: The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all 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 UPMC 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." We need to strip the leading "Purpose:" maybe? The instruction: do not repeat job title as heading. The purpose paragraph includes "Purpose:" which is like a label. We can keep the sentence but maybe remove "Purpose:" as it's just a label. Better to keep the content after colon. So we output: "The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt and correct payment to the hospital of all 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 UPMC 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." Now responsibilities list: after "Responsibilities:" there is a sentence: "Perform duties and job responsibilities in a fashion which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians and other departments within the organization." Then a series of bullet-like statements separated by periods? Actually they are separated by spaces? Let's parse: "Ability to work multiple payersVerify 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 perform follow-up in accordance with Revenue 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 guidelinesDemonstrate knowledge of the current functionality of the patient accounting systems. Identify issues and submit corrective action recommendations. Ability to work independently with minimal supervisionMeet quality assurance benchmark standards and maintain productivity levels as defined by management." We need to split into sensible list items. Each statement seems to start with a capital letter (Ability, Work, Identify, Assist, Managed, Evaluate, Understand, Identify, Ability). Some have missing spaces (e.g., "Ability to work multiple payersVerify accuracy..." should be two separate items: "Ability to work multiple payers" and "Verify accuracy of payment posting and reimbursement." Similarly "Understand third party billing and collection guidelinesDemonstrate knowledge..." split. Let's break: - 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 perform follow-up in accordance with Revenue 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 current functionality of the patient accounting systems - Identify issues and submit corrective action recommendations - Ability to work independently with minimal supervision - Meet quality assurance benchmark standards and maintain productivity levels as defined by management Also there is earlier sentence: "Perform duties and job responsibilities in a fashion which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians and other departments within the organization." That's also a responsibility. So include that as first item. Thus responsibilities list items: - Perform duties and job responsibilities in a fashion which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians and other departments within 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 perform follow-up in accordance with Revenue 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 current functionality of the patient accounting systems - Identify issues and submit corrective action recommendations - Ability to work independently with minimal supervision - Meet quality assurance benchmark standards and maintain productivity levels as defined by management Now Requirements: we have "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." Also "Licensure, Certifications, and Clearances: Act 34". Also maybe "Prior working experience on personal computers, electronic calculators and office equipment is needed." That could be a skill but we could put under Requirements as well. However we already have Skills section for many items. Let's decide: Put experience/education under Requirements. Put licensure under Requirements as well. Put computer experience under Skills. Thus Requirements list: - 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. - Licensure, Certifications, and Clearances: Act 34 Now Skills list: gather all skill-related statements: - Excellent interpersonal, organizational, communication and effective problem solving skills are necessary. - Must be able to communicate with patients, payers, outside 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