Role Description
The representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. The representative will also follow-up with payers to facilitate uninterrupted cash flow.
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Must possess excellent communication skills and the ability to practice proper phone and email etiquette.
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Ability to read, understand and follow oral and written instructions.
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Familiar with medical terminology and insurances HCPC/ICD-9 codes.
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Documents activities in the systems in an efficient, accurate, and timely manner.
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Ensures the billing activity is handled correctly.
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Ability to evaluate and secure the needed Rx’s, PA’s, and medical justification to facilitate payment of claims for initial and review/appeals payments.
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Ability to edit and resubmit claims for payment.
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Prepares and reviews clean claims for submission to various insurances either electronically or by paper.
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Working knowledge of Microsoft Office, particularly Word, Excel, and Outlook.
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Provide feedback to Group Team Lead regarding issues regarding accounts.
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Conducts routine tasks as directed; works under clearly defined guidelines.
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Contributes to specific objectives and outcomes as directed.
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Ability to multitask, working multiple claims, calling insurance companies, and using multiple systems to resolve claims.
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Ability to read and understand Explanation of Benefits (EOB/EOP) from payers.
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Ability to maneuver through online payer portals for patients and claims information.
Benefits
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Medical, dental, and vision care coverage.
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Paid time off plan.
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401(k) Plan.
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Flexible Spending Accounts.
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Basic life insurance.
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Short-and long-term disability coverage.
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Accident insurance.
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Teammate Assistance Program.
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Paid parental leave.
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Domestic partner benefits.
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Mental, physical, and financial well-being programs.
Company Description
At Accendra Health, we understand that healthcare is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve.
With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.
If you’re interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™.
