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Account Settlement Associate

1 month ago

Huntington Beach, California, United States - Electronic Wave Form Lab Inc Full time
Job Title: Account Settlement Associate

Electronic Wave Form Lab Inc is seeking a highly skilled Account Settlement Associate to join our team. As an Account Settlement Associate, you will play a critical role in negotiating the settlement of liens and outstanding balances with payors, while maintaining and building professional relationships.

Key Responsibilities:

  • Develop and cultivate strong relationships with payors, including insurance adjusters, nurse case managers, and attorneys.
  • Educate payors on the H-Wave Unit and its benefits.
  • Review and respond to incoming mail in a timely fashion.
  • Review explanation of reviews/benefits and bill codes to ensure proper codes for payment.
  • Maintain up-to-date knowledge of the Total Care program and proactively use selling and negotiation skills to identify eligibility and communicate program benefits to customers.
  • Regularly follow up on settlements and confirm payments are received.
  • Review client accounts to ensure billing is accurate.
  • Identify trends with specific insurance carriers, states, and employers.
  • Navigate difficult conversations with adjusters/payors.
  • Review client accounts and identify when to use third-party intermediary vendors.
  • Maintain thorough knowledge of our pricing agreements.
  • Continuously review client accounts and resubmit bills.
  • Maintain up-to-date knowledge of medical and legal terminology applicable to vertical markets for WC and Auto Claims.
  • Maintain up-to-date knowledge on state labor codes and guidelines.

Requirements:

  • 1-year medical collections experience, preferred.
  • Effectively manage multiple priorities and adapt to change within a fast-paced business environment.
  • Deliver excellent customer service and meet the needs of all customers.
  • Basic knowledge of Microsoft Office Suite Products: Email exchange, Excel, PowerPoint, SharePoint.

Physical Requirements:

This is a position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodation will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.