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Overview

Medicare Account Representative

Starting at $16.00/hour

Why work for Select?

We are committed to your growth and success!

-Career Advancement opportunities

-Competitive pay, benefits and PTO

-Eligible for referral bonuses

-Thorough orientation program

-Team oriented environment

Professionally and courteously provide a variety of patient and insurance services through mail, telephone, e-mail and personal contact in response to patient account inquiries. This position will maintain a more active role in fixing patient accounts in the billing system and reviewing reports to assist in quality control of patient accounts, specifically patient balances.

Select Medical's **Outpatient** team is seeking a **Medicare Account Representative** . Our team ensures that claims are transmitted electronically or printed in a timely basis.

Responsibilities

+ Complete the monthly pre-billing report to update missing account information prior to 1 st bill drop.

+ Follow department guidelines in requesting cap forms from clinics.

+ Create billing files at month end and mid-month (or as specified) and upload files to Change Healthcare. Review files for missing account type, form type, charges, etc.

+ Complete daily/weekly/monthly workbook assignments.

+ Ensure POCs are on file to cover applicable dates of service. Follow department guidelines in requesting POCs from clinics.

+ Work daily Change Healthcare status codes, holds, rejections.

+ Follow all CMS requirements when adjusting claims in DDE system.

+ Communicate clinic requests for required billing information. Maintain follow-ups per department policy.

+ Work denial report to provide required information to insurance companies for claims payment.

+ Monitor aging for primary and secondary payment and closure on all claims assigned.

+ Maintain and update notes in patients’ accounts, per department guidelines.

+ Immediately notify management of payer issues, problems, outstanding AR, etc.

+ Work with teammates to obtain information needed for accurate billing and brainstorm solutions to payment issues.

+ Ensure that all HIPAA requirements and standards are followed and executed consistently.

+ Support the vision and values of Select Medical, both within the Medicare team and throughout Select Medical.

Qualifications

Required Qualifications

+ High School Diploma or equivalent.

Preferred Qualifications

+ One year of experience with Microsoft Office products is preferred.

+ Basic to advance **computer skills are required.**

+ Proven ability to meet deadlines is preferred

+ One to two years of experience in an office environment is preferred.

+ You have excellent written and verbal communication skills.

Additional Data

Benefits:

Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

+ An extensive and thorough paid orientation program.

+ Paid Time Off (PTO) and Extended Illness Days (EID).

+ Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.

+ A 401(k) retirement plan with company match.

+ No Required Weekends

Working Conditions/Physical Demands:

+ Office Environment

+ Sitting for extended periods of time

+ Ability to lift weight up to 35 lbs.

Equal Opportunity Employer/including Disabled/Veterans

Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/345970/medicare-account-representative/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814)

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**Job ID** _345970_

**Experience (Years)** _2_

**Category** _Corporate - Central Billing Office_

**Street Address** _225 Grandview Avenue_

**Min** _USD $16.00/Hr._

**Max** _USD $16.00/Hr._