Account Representative - Exeter Health Resources and Affiliate Companies - Exeter, NH |
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Account Representative

Exeter Health Resources and Affiliate Companies | Exeter, NH 03833

Exeter Health Resources and Affiliate Companies

Performs follow-up and collects on insurance balances including governmental payors and workcomp through the use of various system reports.

  • High school graduate or equivalent
  • 1-3 years experience

Major Responsibilities:
  • Work denials and zero pay Explanation of Benefits and Remittance Advices to determine liability and appropriate action to ensure reimbursement.
  • Maintain payor AR days through effective collection; account resolution; and proper monitoring of receivables.
  • Document all transactions in the patient account system.
  • Process correspondence; EOB's; RA's and interoffice mail in a timely manner with no more than a five day backlog.
  • Request medical records as needed for claims processing and Medicare audits.
  • Request and print demand claims for immediate submittal to payors.
  • Contact insurance companies; governmental payors; and workcomp carriers performing third party collections on insurance balances for primary; secondary; and tertiary payors.
  • Maintain active communication with third-party carriers until account is paid; or balance becomes the patient's responsibility.
  • Monitor Medicare VDT to ensure suspended claims are resolved in a timely manner; ensuring that they do not drop from the system at 45 days.
  • Run weekly and monthly reports; including Aged Trial Balance; to effectively monitor accounts receivable.
  • Follow-up on system reminders to ensure proper account resolution.

  • Job Code: 6102
    Posted On: 02/19/192019-02-19
    Closing Date: Open Until Filled
    Telecommute: No
    Categories: Customer Service, Admin - Clerical, Sales
    Job Status: Full Time
    Similar Jobs: Within 25 miles of 03833, Customer Service, Admin - Clerical, Sales

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