Account Maintenance Representative - Full Time

In this role you will be:

• Performing processes and demonstrating the skills requiring related industry knowledge needed to perform with a high degree of accuracy and timeliness.


• Communicating and participating in training and developing skills to perform the job functions.


• Keeping informed by reviewing communication supplied by management and payers that include comprehensive information for any changes on industry regulations and payer requirements associated with the function.


• Ensuring a high degree of customer service in the interaction with both direct and indirect customers in the completion of the functions.


• Balancing file processing as it relates to claim activity between systems, including clam follow-up, cash posting and adjustments, and collection agency reporting.


• Reporting suspected outcomes for compliance with process and policy and customer service to provide periodic feedback for reinforcement of compliance and corrective action for deficiencies.


• Identifying process deficiencies or improvements and making recommendations to your site supervisor for standard changes that will improve the performance of the represented hospital and/or pod hospitals.


• Performing cash posting and balancing by following established policies and guidelines.


• Transferring and verifying files are received while confirming the transmission size/volume is completed between entities.


• Appropriately posting adjustments by following the policies and guidelines established.


• Participating in meetings and other methods of communication needed to determine root causes of issues when working with the site supervisor.


• Working with the site manager to assist in performing system configuration and table maintenance of the assigned systems.


• Assisting as needed in system testing of updates and releases within the functional scope.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

QUALIFICATIONS

Required:

• EDUCATION: High school diploma required, with some advanced education desired


• EXPERIENCE:
  
  
  
  • 3 years clerical experience preferred
  
  
  • Supervisory experience and experience with computers required
  
  
  
  


• LICENSURE/CERTIFICATION: AAHAM certification after 1 year