Accounting Assistant III
Accredo Health Group, Inc - Warrendale, PA

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Position SummaryProcesses bills for all payor sources and services. Prepares and reviews invoices before distribution to payors and/or patients and monitors receivables. Pursues collection activities to ensure receivables (invoices) are reimbursed accurately and timely.ESSENTIAL FUNCTIONS: Bills patients insurance and other third party carriers for charges per company/division usual and customary charge or special contract or letter agreement pricing.Maintains follow-up on patient accounts to include unapplied payments within established guidelines. Telephones or sends form letters in initial stages of collection process to delinquent account.

Escalates delinquent accounts to upper management for appropriate action.Responds to billing inquiries from branch offices and insurance companies. Responds to insurance carriers requests for additional information. Answers inquiries regarding patient accounts, respecting patient confidentiality and legal limits on releasing information.Analyzes each payor and/or patients/clients outstanding accounts receivable, re-bills, refunds, and denials to obtain maximum reimbursement. Clears payment variances, resolving differences, and initiating corrective action.Identifies and communicates system updates to ensure accurate processing and timely collections.Reviews and communicates claim submissions and payment expectations with payors.May obtain and input patient demographics.QUALIFICATIONS: High School Diploma requiredAssociate's Degree Preferred2+ years office experience of which 1+ years are claims and/or collection experienceMedical claims and collection experience preferredProficient in Microsoft Word and ExcelMaintain confidentialityAnswer telephonesProblem solvingResearch informationStrong attention to detailStrong communication skills-written and verbalStrong customer service skillsStrong analytical skillsMaintain patient chartsTime management

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