PPO Account Lead Representative
5 days ago
We are seeking a highly skilled PPO Account Lead Representative to join our team at Altais Health Solutions. In this role, you will be responsible for providing revenue cycle management support to PPO contracted physicians and their practice offices.
The anticipated salary range for this position is $65,000 - $85,000 per year, based on experience and location. This includes the Bay Area, Metro LA, and Greater California regions.
About Our TeamYou will work closely with internal and external sources to obtain necessary information to resolve claims, escalate issues as appropriate to your lead, supervisor or manager. You will also provide education and assist in trouble shooting for Customer Service and other departments related to PPO Claim processing.
About Your RoleYour primary responsibilities will include:
- Epic Resolute Work queue assignments.
- Imagenet Correspondence, Appeal & EOB inventory.
- Coordinate with internal and external sources to obtain necessary information to resolve claims.
- Escalate issues as appropriate to Lead, Supervisor or Manager.
- Provide education and assist in trouble shooting for Customer Service and other departments related to PPO Claim processing.
To be successful in this role, you will need:
- A high school diploma or equivalent and 5 years of relevant experience.
- Some college level coursework preferred.
- 5+ years of Revenue Cycle management in an IPA or Professional billing setting.
- 5+ years of knowledge of Claim Clearing house management, i.e. Change Health.
- 5+ year of understanding and application of ICD-10, RVS, CPT codes, basic medical terminology.
At Altais Health Solutions, we offer a competitive compensation package that recognizes your experience, credentials, and education. We also provide a robust benefits program to meet your needs.
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