Account Representative Senior
Account Representative Senior
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Salary Not Disclosed
1 Vacancy
Job Description
Preferred Primary Care Physicians (PPCP) is currently recruiting for a fulltime Account Representative Senior to work out of our Central Administrative office located in Canonsburg PA. The successful candidate MUST have at least 1 year of claims/billing/collection experience OR 4 years experience in a business office setting OR a Bachelors Degree in a medical or business major OR an equivalent combination of education/experience. This position is an onsite position with a MondayFriday day schedule.
Come join the PPCP team to get a highly competitive starting hourly wage a fantastic benefit package that includes one of the top 401k plans in the field and a company that promotes a positive upbeat environment and healthy work/life balance!
General Purpose of the Account Representative Senior:
The Account Representative Senior is responsible for all fiscal functions necessary to ensure prompt and correct payment to the organization of all monies owed by both insurers and patients. Account Representative Senior is responsible to ensure claims are submitted accurately and timely; communicating with insurance companies recommending adjustments according to PPCP policies; reviewing 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 have a comprehensive background in Accounts Receivable and Collections.
- Ability to work multiple payers.
- 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 followup in accordance with Revenue Cycle policies and procedures.
- 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.
Qualifications
- Must have one year of claims/billing/collections experience; OR four years in a business office setting; OR a bachelors degree; OR an equivalent combination of education and experience.
- Excellent interpersonal organizational communication and effective problemsolving 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 multidisciplined 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.
- This position requires organization and time management skills.
- The incumbent must develop and manage relationships with colleagues in a professional independent manner.
- The position requires the ability to maintain confidentiality regarding all assignments.
About Us:
At Preferred Primary Care Physicians preferred health care is simply our standard. Our practice was established in 1995 when a group of dedicated physicians in the South Hills came together for one common purpose: to provide the highest quality care to their patients. Their ingenuity and expertise laid the foundation for our independently owned practice which now operates out of more than 20 locations in the greater Pittsburgh area. Our elevated level of service is supported by our teambased approach comprehensive clinical programs and stateoftheart outpatient centers. From providing general primary care to managing chronic conditions we give all of our patients the preferential treatment they deserve.
Come join the team and enjoy a very competitive employee benefit package including medical dental vision company paid life insurance and 401k with competitive match.
Please visit our website for more info about our company.
EOE
Required Experience:
Unclear Seniority
Employment Type
Full-Time
