Job Title:
Account Representative
Location:
Dallas,  TX 75243 
Req No.:
006
Description:
The Account Representative is responsible for accounts receivable (AR) follow-up within client-focused revenue cycle operations while demonstrating and executing in depth knowledge of all standard operating procedures communicating issues, trends, concerns and suggestions to leadership.
Essentional
Functions:
To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment; including coordinating with payers, patients and clients when appropriate.
  • Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR.
  • Review credit balances and validate reimbursement requests and initiate reallocation or refunds when appropriate.
  • Maintain in-depth working knowledge of the various applications associated with the workflows.
  • Ensure all workflow items are completed within the set turn-around-time within quality expectations.
  • Utilize functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information.
  • Attend required meetings and participates in training programs as required.
  • Understand and adhere to HIPAA policies, procedures and regulations to ensure and maintain patient confidentiality.
  • Contributes to team effort by accomplishing related results as needed.
  • Perform other duties as assigned.
Education:
  • Bachelor's degree from a four-year college or university; or two years related experience and/or training; or equivalent combination of education and experience in healthcare required.
  • Coding and billing certification preferred. 
Requirements:
  • Ability to handle high volume and stressful situations in a calm and professional manner.
  • Has the ability to set priorities and work independently while maintaining a high degree of accuracy.
  • Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction.
Computer Skills:
  • Proficient in MS Office software; particularly Excel and Outlook.
  • Athena, Allscripts, eClinicalWorks (eCW), and/or Centricity experience preferred
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