About The Position

Fast-paced, high-volume clinic looking for a top skilled Patient Account Rep II/Third Party Representative. This role is part of the Billing and Initiatives team and is a full-time position working day shifts. The work environment is a Remote Contact Center, though onsite training may be required. The department highlights a strong team collaborative environment, a fun, positive team culture with growth opportunities, and supportive leadership with continuous learning.

Requirements

  • High School Diploma or equivalent (REQUIRED)
  • Six Months of experience in Hospital Business Operations Account Receivables (REQUIRED)

Responsibilities

  • Insurance verification, eligibility and benefits
  • Assist management with trending, tracking, reporting, process improvement
  • Verify, load and ill commercial and miscellaneous coverage reported by customer service, ECI ,Medlytix and bad debt agencies. The accounts are referred by UIC, email, web reports, and spreadsheet.
  • As well as back up for Medicare/Medicare HMO, Tricare and VA Coverage Discovery PAR.
  • Organize and coordinate workflow as well as meeting deadlines and keeping up with changes in processes, etc
  • Productivity standard is 250 accounts per week. Goal for Quality Review score is 3.0 with scores falling below 2.7 considered below average.
  • Pulling weekly reports for vendor to review and resolve and keeping information organized and accessible.
  • Identify trends related to insurance eligibility, verification and loading. Trends should be elevated to the management or appropriate departments for corrections as needed.
  • Issues should be trended and provided to supervisor or management timely.

Benefits

  • 401k
  • PTO
  • medical
  • dental
  • Paid Parental Leave
  • flex spending
  • tuition reimbursement
  • Student Loan Repayment Program
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