Accounts Representative

1 month ago


Saint Marys, United States JTDMH Full time
Job DescriptionJob DescriptionHours of Job
  • Full-time 8:00 a.m. - 4:30 p.m.
  • No Holidays or Weekends Required
Duties and Key Responsibilities
  • Processes and follows-up on all assigned location insurance claims until proper reimbursement is received.
  • Makes all necessary corrections on assigned location claims for submission.
  • Processes mail and explanation of benefits related to assigned location accounts.
  • Processes hard-copy billing, documenting amount and date sent on office’s information system.
  • Monitor and Review all denials and unpaid claims and take appropriate corrective action as necessary.
  • Utilize telephone and various carrier websites as research tools to expedite resolution for issues.
  • Review carrier manuals and websites for any new procedures implemented by carrier that are impacting claims.
  • Consistently meet established completion times for claims/assignments.
  • Performs other duties as assigned.
Requirements
  • Typing, basic math calculations, computer oriented, and good verbal skills.
  • Able to work without direct supervision, work well in a group setting.
  • Very Detail Oriented
  • Ability to work independently with excellent time management skills.
  • Ability to recall detail and Health Insurances procedures/ processes.
Education/Certifications
  • High School graduate
Experience
  • Previous experience is preferred, but not required.

Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.



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