A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.
Associate Collector Byram Healthcare Centers Inc - 3.0 Salt Lake City, UT Job Details Full-time $21 - $22 an hour 19 hours ago Benefits Paid parental leave Partner benefits Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Parental leave Vision insurance Life insurance Qualifications Phone communication Full Job Description At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you're interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life™. The anticipated salary range for this position is $21.00 - $22.00 hourly.
Summary:
The representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. The representative will also follow-up with payers to facilitate uninterrupted cash flow.
ESSENTIAL TASKS
Must possess excellent communication skills and the ability to practice proper phone and email etiquette, Ability to read, understand and follow oral and written instructions. Familiar with medical terminology and insurances
HCPC/ICD-9
codes, Documents activities in the systems in an efficient accurate and timely manner. Ensures the billing activity is handled correctly. Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments. Ability to edit and resubmit claims for payment. Prepares and reviews clean claims for submission to various insurances either electronically or y paper. Working knowledge of Microsoft Office, particularly Word, Excel and Outlook. Provide feedback to Group Team Lead regarding issues regarding accounts. Conducts routine tasks as directed; works under clearly defined guidelines. Contributes to specific objectives and outcomes as directed. Ability to multitask, working multiple claims, calling insurance companies, and using multiple systems to resolve claims. Ability to read and understand Explanation of benefits (EOB/EOP) from payers. Ability to maneuver through online payer portals for patients and claims information Teammate Benefits As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are — through all of life's stages. We've got you and your family covered with benefits that support your health, finances, and overall wellness.
Our benefits program includes:
Medical, dental, and vision care coverage Paid time off plan 401(k) Plan Flexible Spending Accounts Basic life insurance Short-and long-term disability coverage Accident insurance Teammate Assistance Program Paid parental leave Domestic partner benefits Mental, physical, and financial well-being programs If you feel this opportunity could be the next step in your career, we encourage you to apply. Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.
Note:
Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means. #AccendraHealth
