Commercial Follow-Up Representative

Accretive Health; Southfield (MI); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Advancement opportunities

Total Rewards package

401k with company match

Job summary

Accretive Health is seeking a Commercial Follow-up Representative to help maximize client revenue by resolving insurance claim issues and ensuring prompt payment. You will review patient accounts, fix claim edits, and respond to inquiries while adhering to HIPAA guidelines.

This role emphasizes accuracy, speed, and customer service in a healthcare revenue cycle environment. The ideal candidate has strong communication skills, a high school diploma, and the ability to manage multiple tasks in a

Qualifications

• High School Diploma or equivalent.
• Enhanced communication and customer service skills.
• Ability to manage multiple tasks with time management.
• Self-directed with the ability to work independently.

Responsibilities

• Review patient accounts for billable claims.
• Identify and resolve claim edits per payer requirements.
• Proactively fix claim rejection errors and resubmit claims.
• Respond to inquiries from external sources.
• Maintain confidentiality under HIPAA guidelines.
• Meet departmental productivity and quality standards in given timeframes.

Skills

Communication

Customer Service

Time Management

Multitasking

Education

High School Diploma or equivalent

Tools

UB-04 Knowledge

Billing software

Job description

Accretive Health is a leading provider of revenue cycle services and Physician Advisory
Services to healthcare providers. Accretive Health’s mission is to help
healthcare providers strengthen their financial stability so they can deliver
better care at a more affordable cost to the communities they serve, increasing
healthcare access for all.

Job Description

Accretive Health’s Commercial Follow-up Representative isresponsiblefor facilitating maximum revenue for our clients by working with payer’s to resolve billing issues on insurance claims to ensure prompt payment.

Your day to day role will include:

• Work firsthand on actively reviewing patient accounts ensuring claims are accurate and billable.
• Identify and resolve claim edits through understanding of billing guidelines and payer requirements.
• Proactively fix claim rejection errors and resubmit claims based on payer requirements.
• Initiate contact and respond to inquiries from a various external sources.
• Comply with all government and third party payers regulatory mandated requirements for billing and collections.
• Answer questions and assist patients in regards to billing issues as needed.
• Ability to maintain confidentiality of all information under HIPPA guidelines.
• Meet departmental productivity and quality standards in timeframe given upon completion of training.

Qualifications

You Have:

• High School Diploma or equivalent experience.
• Enhanced communication and customer service skills.
• Ability to be self-directed, possess time management skills and the ability to multiple tasks.

It would be great if you also have:

• Experience and working knowledge of UB-04 claim forms.
• Experience with patient billing editor systems.
• Understanding of the entire revenue cycle process.
• Knowledge of Revenue and ICD coding language.
• 1-2 years of billing experience in a facility and hospital setting.
• Knowledge of Medicaid and Medicare billing regulations.

Additional Information

We offer:

• Advancement and leadership Opportunities
• Competitive compensation
• A Total Rewards package including competitive compensation programs with base salary and bonus opportunity, the ability to choose from a variety of healthcare/dental/vision programs that are primarily funded by Accretive Health, work life balance with paid time off for vacations, illness and volunteering, 401k program with company match and much more!

Sound like you? Let’s talk!

To apply: visit https://careers.accretivehealth.com/us/en/job/ACCEA008F472/Commercial-Follow-up-Representative-Patient-Financial-Services

All your information will be kept confidential according to EEO guidelines.

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