Account Representative

Account Representative The Account Representative is responsible for billing and Revenue Cycle follow up. Ensures the accuracy and completeness of all submissions for maximum reimbursement. Responsible for timely and accurate posting of all payments and adjustments. Follows appropriate procedures/workflows depending on EHR. A day in the life of a Account Representative at Hackensack Meridian Health includes: Liaison to our patients as it relates to their billing questions both in person and by phone. Advocates for patients when their claims are not paid properly. Manages all insurance plans who need auths/referrals, etc. Provides billing education to staff and providers. Responsible for all letters of medical necessity, record requests from insurance companies. Review denials and communications from MCX as needed. Runs and reviews revenue cycle reports as necessary. Communicates effectively and professionally with co-workers, insurance companies, management and physician office staff. Communicates trends or problems with payers. Accurately record all transactions posted each day. At the end of each month the logs are forwarded to appropriate staff in finance. Entering Charges: All supplied charge information is entered into the computer system timely and accurately. Insurance Knowledge: Knowledge of billing rules as they apply to specific payers. Able to detect and report trends, account lead and management. Responsible for all account receivable. Prepares Bank Deposit as directed by practice manager. Assists office manager with clinical insurance requirements. Posts all Medical Record request fees. Attends all revenue cycle meetings, front end meetings, Epic update meetings and all billing and coding inservices. Disseminated all pertinent takeaways to staff and providers as needed. Responsible for working Epic Work Que`s daily. Runs all EPIC Revenue Cycle reports daily, weekly and monthly. Answer Phones promptly, callbacks are done within 24 hours of receiving messages. All written or verbal communication with patients, insurance companies and office staff is documented in medical record. Cross trained and used to backfill a Medical Receptionist whenever needed. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior.