Account Specialist Job

Employer Name:	SpiderID: 2902779
Location: Kansas City, Kansas	Date Posted: 9/25/2009
Wage:	Category: Healthcare
Job Code:

Job Description:
Account Specialist
(Telecommuting Position)

The Account Specialist is an important member of the revenue operations team supporting the Account Manager in working closely with clients and their staff, providers and patients. The Account Specialist will maintain one client account and will work in data capture, virtual registration, real time eligibility and benefits, electronic and paper claims submission, payment posting, claims follow-up.

Responsibilities:
• Maintain registration or confirmation of registration information on patients into the practice management system
• Verify insurance eligibility
• Select or request creation of correct insurance code and related information based on our policy guidelines
• Prepare requests for information as well as utilize various systems for entering or updating patient demographics and insurance information
• Data entry and/or verification of ICD9, CPT, Provider, Referring Provider and HCPS codes
• Ensure Census data matches incoming data and ability to create reports and communicate with various entities for obtaining missing information
• Prepare charge and payment reconciliation reports
• Transmit electronic claims as needed
• Review Clearing House(s) claims transmission reports to ensure successful transmission
• Correct, resubmit and process rejected and appeal claims
• Process primary paper claims with supporting documentation (i.e. workers’ compensation)
• Prepare electronic version of “Insurance Follow-up Report” for claims older than 45 days and obtain claim status
• Document claim status findings

Job Requirements:
Qualifications:
• High School diploma or equivalent
• Solid understanding of the insurance industry and products to include FFS, HMO, PPO, POS and the changes in managed care organizational structures impacting patient care
• Solid understanding of third party reimbursement and familiarity with insurance contracts
• 2+ years healthcare experience in a capacity involving registration and billing
• Computer proficiency including Windows, Outlook, Word, Excel, practice management software along with proficiency in navigating various server files and internet portals
• Knowledge of ICD9, CPT and HCPCS codes
• Familiarity with laws that govern healthcare practices i.e., HIPPA, anti-trust and practice management
• Self motivated and able to handle large volumes of work
• High Speed internet required for telecommuting

Benefits:
We value our employees’ time and efforts. Our commitment to your success is enhanced by our competitive salary of $13-$14 an hour and an extensive benefits package including paid time off, medical, dental and vision benefits and future growth opportunities within the company. Plus, we work to maintain the best possible environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where each person feels encouraged to contribute to our processes, decisions, planning and culture.

To Apply:
To respond to this opportunity, please go to:
https://administaff.ats.hrsmart.com/cgi-bin/a/highlightjob.cgi?jobid=55022

Administaff is not a staffing agency. In fact, most of our listings presented are great, full-time or part-time opportunities with small to medium-sized companies. By delivering HR services such as recruiting, payroll and training, Administaff can help its clients focus on what they do best. And because we have the inside track to these firms, you'll have a jump on your next career!

EOE

Company Profile:
Founded in June of 1999, Health Associates Incorporated (HAI) is a practice management company offering consulting and business services as a partner in addressing the components of a successful revenue process for our clients. As such, we see elements such as managed care contracting, state and federal regulatory compliance, credentialing, onsite clinic operations, clinical service reporting, as well as other strategic planning initiatives integral components of fiscal viability. We are a young, growing company generating 100% of our business from referrals. That says a lot about our reputation and success in the marketplace. Currently, we are seeking an organized and detail-oriented Account Specialist with excellent communication skills to join our growing team!

Contact Information:

Contact Name: -	Company Type:
Company:

City: Kansas City
State: Kansas
Zip:

Web Site: http://administaff.ats.hrsmart.com/cgi-bin/a/highlightjob.cgi?jobid=55022