Alura Workforce Solutions
Position Commercial Patient Account RepDenial Rep - Commercial Claims Description Commercial Patient Account Representative, Senior is responsible for follow up on denied commercial insurance claims to ensure that PFS is capturing all revenues as timely and efficiently as possible.
This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary.
This position will have working knowledge and understanding of Commercial managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement.
This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all Commercial payors and government agencies to obtain maximum and correct reimbursement of accounts receivables.
This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment.
Applies independent judgment, research and knowledge to audit Commercial payor payments, denials, appeals and billing issues.
Requirements Minimum 3 years hospital business office experience, preferredUnderstanding of commercial insurance collections processes including denial resolution and appealsExcellent interpersonal skillsKnowledge of medical terminology and codingWritten and verbal communication skills to meet productivity standardsUse of 10-key calculator by touch preferredMicrosoft Office and Outlook experienceBi-lingual Spanish preferredPositive work ethic Additional Information Full-TimeContract to Hire On-Site Training, then Remote INDHAbout the Company:
Alura Workforce Solutions.
Estimated Salary: $20 to $28 per hour based on qualifications.
This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary.
This position will have working knowledge and understanding of Commercial managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement.
This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all Commercial payors and government agencies to obtain maximum and correct reimbursement of accounts receivables.
This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment.
Applies independent judgment, research and knowledge to audit Commercial payor payments, denials, appeals and billing issues.
Requirements Minimum 3 years hospital business office experience, preferredUnderstanding of commercial insurance collections processes including denial resolution and appealsExcellent interpersonal skillsKnowledge of medical terminology and codingWritten and verbal communication skills to meet productivity standardsUse of 10-key calculator by touch preferredMicrosoft Office and Outlook experienceBi-lingual Spanish preferredPositive work ethic Additional Information Full-TimeContract to Hire On-Site Training, then Remote INDHAbout the Company:
Alura Workforce Solutions.
Estimated Salary: $20 to $28 per hour based on qualifications.
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