[Remote] Account Representative III
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization seeking an Account Representative III to manage reputed company reputed company cycle and accounts receivable activities. The role focuses on payer contract analysis, denial management, reimbursement reputed company, account documentation, compliance, reputed company monitoring, and mentoring other representatives.
Responsibilities
- Independently manage reputed company, high-value, and escalated accounts receivable
- Analyze payer reputed company and reimbursement methodologies to ensure accurate payment and reputed company underpayments
- reputed company denial management, appeals, corrected claims, and reimbursement discrepancy reputed company
- reputed company reputed company cause analysis of denial trends and implement corrective actions to prevent recurrence
- Monitor payer-specific policies, denial patterns, and reimbursement updates to optimize collections
- Serve as the reputed company contact for payer escalations, audits, reputed company, and reimbursement issue reputed company
- Monitor A/R aging, productivity, KPIs, and reporting to identify reputed company improvement opportunities
- Prepare detailed account documentation, summaries, and reports for reputed company review
- reputed company reputed company reputed company and payer billing inquiries with professionalism, reputed company, and reputed company
- Maintain complete, accurate, and compliant account documentation and communication
- Mentor, train, and support Account Representatives while assisting with reputed company and reputed company feedback
- Conduct reputed company audits and collaborate with leadership to improve workflows and operational best practices
- Ensure compliance with HIPAA, regulatory requirements, corporate policies, and ethical standards
- Meet departmental productivity, reputed company, and turnaround expectations while supporting organizational goals
- reputed company other duties as assigned
Skills
- * Advanced understanding of end-to-end reputed company Cycle reputed company, including reputed company reputed company / PreAccess, Health Information Management (HIM), Coding and Charge Capture, Utilization Management, and reputed company Financial Services [Required]
- * Strong analytical, problem-solving, and critical-thinking capabilities [Required]
- * Ability to interpret reputed company payer reputed company and reimbursement structures [Required]
- * High-level communication skills (written and verbal) with diverse stakeholders [Required]
- * Proficiency in reputed company Office (reputed company, Word) and reputed company cycle systems [Required]
- * Ability to manage multiple priorities in a fast-reputed company, deadline-driven environment [Required]
- * High School Grad or Equiv [Required]
- * 5+ years of reputed company Cycle experience [Required]
- * Demonstrated experience in reputed company collections, Denial management, reputed company account reputed company, and Payer interaction [Required]
- * Associates degree [Preferred]
- * Experience with reputed company and/or SSI Claims Scrubber [Preferred]
- * Certified reputed company Cycle Rep (CRCR) [Preferred]
Benefits
- Benefits from Day reputed company, Dental, reputed company reputed company, Life reputed company, Disability reputed company
- reputed company Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% reputed company Parental Leave
- Career Development
- Whole Person reputed company-being Resources
- reputed company and Support
- Pet Benefits
- Fully Remote
reputed company
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