Hospital Commercial Collector 23-01193 - Alura Workforce Solutions

Position
Commercial Patient Account Rep
Denial Rep - Commercial Claims 

Description
Commercial Patient Account Representative, Senior is responsible for follow up on denied commercial insurance claims to ensure that PFS is capturing all revenues as timely and efficiently as possible.

This position takes ownership of their accounts and eliminates barriers to ensure timely and correct payment including involvement with payors upper management, when necessary. This position will have working knowledge and understanding of Commercial managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all Commercial payors and government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment, research and knowledge to audit Commercial payor payments, denials, appeals and billing issues.

Requirements

• Minimum 3 years hospital business office experience, preferred
• Understanding of commercial insurance collections processes including denial resolution and appeals
• Excellent interpersonal skills
• Knowledge of medical terminology and coding
• Written and verbal communication skills to meet productivity standards
• Use of 10-key calculator by touch preferred
• Microsoft Office and Outlook experience
• Bi-lingual Spanish preferred
• Positive work ethic

Additional Information
Full-Time
Contract to Hire 
On-Site Training, then Remote 

INDH