Account Manager

Our Mission:
Honoring People
Our Values:
Integrity, Compassion, Curiosity, and Helpfulness

The Account Manager is responsible for account follow-up for all assigned accounts, resolving billing problems and answering payer or client inquiries. Sets up financial arrangements as needed. Uses collection techniques to maintain current account receivables including monitoring for delinquent payments. Reports to the Accounts Receivable Manager.

SCHEDULE

This is a full time in-office position, Monday - Friday 8am - 5pm.

BENEFITS

Medical, Vision, Life, and Pet insurance
401k 100% vested
Tuition Reimbursement
Paid Holidays
Mobile Reimbursement or Company Phone

MAJOR RESPONSIBILITIES

Routine billing of assigned payers

Reviews claims for accuracy by comparing to auth on file
Communicates with branch regarding claims without required authorization for services billed and documents in account/invoice log
Transmits claims via batch or direct data entry according to payer guidelines when applicable
Verifies claims have been received by payer if transmitted electronically
Mails claims with required documentation when applicable

Reviews and assures appropriate processing of authorizations

Notifies branch office of any denied authorizations via email, phone call or fax and documents in account/invoice log
Assures that authorizations are correctly entered into system

Accurately posts payments to accounts receivable as they are received

Checks in remittance advice. Determines reason for non-payment of claims and records problems in account/invoice log and branch problem billing list
Shifts all client responsibility balances to appropriate payer, or to the client. Makes appropriate contractual

Performs audits of accounts to ensure accuracy and timely payment

Follows up on insurance billing to ensure timely receipt of payments. Demonstrates ability to deal with clients and insurance companies regarding sensitive financial matters and recapture unpaid balances
Identifies problems on accounts, documents in account/invoice log, and follows through to conclusion
Reviews account aging at least monthly and reports inconsistencies and corrects errors as appropriate
Responds to insurance company requests for information in a prompt and professional manner
Receives and resolves client billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Reviews credit balance reports for correct recipient of refund
Makes appropriate financial arrangements for payment of delinquent client accounts; follows up to determine if payments arrangements are being met; contacts clients to resolve problems; responds to correspondence or telephone calls from clients about accounts
Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund check
Identifies potential write offs; attaches documentation and forwards to supervisor for approval

General Office:

Maintains professional, positive and effective communication with all office staff, branch locations, payer representatives and clients
Maintains confidentiality of all information pertaining to clients, families and employees
Assists with answering telephones and daily office maintenance

Serves as a resource and backup person when requested. Performs other duties as assigned.

PHYSICAL/ENVIRONMENTAL DEMANDS
Primarily office work that requires frequent sitting, standing, bending, and stretching.

Light. Amount of weight moved; up to 20 pounds occasionally.

QUALIFICATIONS

Two years post-secondary education or five years of experience in a related field (i.e. health care administration, business administration, finance).

Experience with accounts receivable management, billing, and accounting.
Excellent written and oral communication skills with customers and employees.
Excellent time management skills and ability to multi-task and prioritize work; ability to work independently with minimal supervision.
Maintains professionalism, attention to detail and problem solving skills.
Strong computer skills and the ability to learn new software; knowledge of Word and Excel.
Pass initial and ongoing background studies and screenings including but not limited to those of the Minnesota Department of Health and the Federal Office of the Inspector General's List of Excluded Individuals and Entities.

Adara Home Health, Inc. is committed to fair and equitable compensation practices. The base salary range for this position in the U.S. is $20.00 - $25.00 per hour. A candidate's salary is determined by various factors including, but not limited to, relevant work experience, skills, certifications, job level, supervisory status, and location.