Patient Account Senior Representative - Remote

Job Summary

The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable.

Essential Duties and Responsibilities

• Researches each account using company patient accounting applications and internet resources that are made available.
• Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.
• Problem solves issues and creates resolution that will bring in revenue eliminating re-work.
• Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues.
• Requests additional information from patients, medical records, and other needed documentation upon request from payors.
• Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed.
• Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection.
• Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
• Perform special projects and other duties as needed.
• Assists with special projects as assigned, documents findings, and communicates results to leaders.
• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging.
• Escalates payment delays/ problem aged account timely to Supervisor.
• Compile data to substantiate and utilize to resolve payer, system or escalated account issues.
• Assist new or existing staff with training or techniques to increase production and quality as needed.
• Participate and attend meetings, training seminars and in-services to develop job knowledge.

Qualifications

• High school diploma or equivalent education.
• 2-5 years experience in Medical/Hospital Insurance related collections.
• Minimum typing requirement of 45 wpm.

Physical Demands

• Office/Teamwork Environment.
• Sit and work at a computer for extended periods of time.

Work Environment

• Office/Teamwork Environment.
• Ability to sit and work at a computer for extended periods of time.

Compensation

• $17.20 - $25.70 per hour.
• Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.

Benefits

• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program, Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

Employment Practices

• Equal Opportunity Employer.
• No discrimination based on race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
• Reasonable accommodations for qualified individuals with disabilities.
• E-Verify participation.