Senior Representative

Description:

Join our team our Accounts Receivable team that supports our specialty pharmacy - Accredo, as a Billing & Reimbursement Senior Representative. In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect payment on outstanding claims in pursuit of reducing the company's accounts receivable. The qualified candidate must have a complete understanding of the billing and collection processes and require little supervision for routine work.

ESSENTIAL FUNCTIONS

• • Prepares and reviews claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations.
  • Pursues collection activities to obtain reimbursement from patients and/or payors. Contacts payor to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
  • Frequent follow up with payers and/or patients on outstanding accounts.
  • Responds to billing inquiries and questions relating to patient accounts.
  • Helps with special projects when needed.
     
• QUALIFICATIONS
   

   

   

   

   

   

   

   

   

   

  • • HS Degree (or equivalent).
    • 3+ years relevant experience.
    • PC Skills including Microsoft Outlook, Excel, Word and Internet
    • Detail oriented and strong organizational skills.
    • Self-starter and team player.
    • Focus on quality and service.
    • Demonstrated ability to meet multiple deadlines and manage a heavy workload.
    • Integrity to handle sensitive or confidential information is critical.
    • Work hours: Monday - Friday for 8 hour shift with flexibility to start work day between 6am - 9am EST and lunch break.