- Claims Imported
- Claims Failed
- Claims Not Imported
- Edit Statistics (Reasons claims failed)
- Work ticklers generated by system based on path assignments.
- Work ticklers assigned by Claims Management, Management Team and Self Pay teams for payor updates.
- Monitor follow-up on all accounts
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Account Representative
1 week ago
Synergy Orthopedics Bergen County, NJ, United States**Objective**: · This person will be responsible for managing inventory, building relationships with staff and administration at accounts, collecting and reviewing claims with account staff and helping manage set up and delivery of equipment as appropriate · **Key Functions**: · ...
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Customer Account Representative
1 week ago
Sterlin Black Rochelle Park, United States**Sterlin Black Is Looking For Account Reps** · - *Note: This is NOT a remote position_ · **Minimum Education**: · - Education: High school diploma or equivalent · - Experience: 1-2 years of customer service experience · - 2-4 year college degree in Business Administration, Marke ...
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Customer Account Representative
5 days ago
Sterlin Black Hackensack, United States**Sterlin Black Is Looking For Account Reps** · - *Note: This is NOT a remote position_ · **Minimum Education**: · - Education: High school diploma or equivalent · - Experience: 1-2 years of customer service experience · - 2-4 year college degree in Business Administration, Marke ...
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Insurance Account Representative
1 week ago
Emmanuel Ochoa - State Farm Agent Teaneck, United States**Position Overview**: · State Farm Insurance Agent located in Teaneck, NJ is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Emmanuel Ochoa - State Farm Agent, you will build and develop customer relationships within the comm ...
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Account Representative
1 week ago
Paul Roman - State Farm Agency Intern Glen Cove, United States**Benefits**: · - Equipment Provided · - Licensing sponsorship · - Bonus based on performance · - Competitive salary · - Opportunity for advancement · - Paid time off · - Training & development · - Signing bonus · - Parental leave · **INTERN** **AGENCY DESCRIPTION**: · Are you ou ...
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Account Representative
3 days ago
Tim Curry - State Farm Agent Elmhurst, United States**Benefits**: · - 401(k) · - 401(k) matching · - Competitive salary · - Dental insurance · - Health insurance · - Opportunity for advancement · - Paid time off · - Training & development · - Vision insurance · - Bonus based on performance · Position Overview · Successful State Fa ...
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Account Representative
3 days ago
Julio Tejada - State Farm Agent New York, United StatesPosition Overview · Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only State Farm insurance and financia ...
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Account Representative
1 day ago
Dominick Abramo - State Farm Agent Bayonne, United StatesPosition Overview · State Farm Insurance Agent located in Bayonne, NJ is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Dominick Abramo - State Farm Agent, you will build and develop customer relationships within the communit ...
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Account Representative
3 days ago
Paul Roman - State Farm Agent Glen Head, United States**Benefits**: · - Sponsoring for license · - 401(k) matching · - Bonus based on performance · - Competitive salary · - Opportunity for advancement · - Paid time off · - Signing bonus · - Training & development · **ROLE DESCRIPTION**: · As an Office Representative for Paul Roman S ...
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Account Representative
1 week ago
Eric Safarian - State Farm Agent Staten Island, United StatesPosition Overview · Looking for a part-time job that provides meaningful work and competitive compensation? Consider a position in a State Farm Agent's office. · **Responsibilities**: · - Work with the agent to establish and meet marketing goals. · - Develop leads, schedule appoi ...
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Insurance Account Representative
3 days ago
Joy Harvey-Washington - State Farm Agent Bronx, United StatesPosition Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Insurance Account Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value- ...
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Corporate Account Representative
4 hours ago
Mr. Steam Long Island City, United StatesDepartment: Customer Service · Job Title: Corporate Account Representative · Supervisor: Customer Service Manager · Purpose of Position: Provides customers with courteous customer service in person and over the phone in; strives to retain present customers and develop new busines ...
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Insurance Account Representative
4 days ago
Linda Burchett - State Farm Agent New York, United States**ROLE DESCRIPTION**: · **Linda Burchett Agency,** is searching for a competitive representative who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Insurance Account Representative, your knowledge of insurance products an ...
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Account Development Representative
2 days ago
Snappy New York, United States**Account Development Representative** · **Location: US remote** · **Hours: 9am-6pm EST.** · Due to Snappy employees being in Tel Aviv, London and across the US, we schedule all company-wide meetings and events in EST. We do our best to respect and accommodate your personal time, ...
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Accounts Receivable Representative
1 day ago
Hospital for Special Surgery New York, United StatesOverview: · **How you move is why we're here. **** · **Now more than ever.** · Get back to what you need and love to do. · The possibilities are endless... · the abundant opportunities for growth and success. · If this describes you then let's talk · HSS is consistently among the ...
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Insurance Account Representative
2 days ago
Marcel Robin - State Farm Agent Astoria, United StatesPosition Overview · State Farm Insurance Agent located in Astoria, NY is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Marcel Robin - State Farm Agent, you will build and develop customer relationships within the community t ...
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Account Representative and Merchandiser
1 day ago
Hatcheri Foods New York, United States**Position Summary** · We are seeking a dedicated Field Sales Manager to grow and support Hatcheri Foods' presence in the greater **NYC Metro area**. In this position, you will be responsible for owning merchandising, increasing sales, and developing top-notch relationships with ...
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Insurance Account Representative
1 week ago
Soribel Almanzar - State Farm Agent Haverstraw, United StatesPosition Overview · Do you have aspirations to run your own business? If so, you may want to consider working in the office of Soribel Almanzar - State Farm Agent. As a member of our agency team, you have an opportunity to experience first-hand what it takes to be a State Farm Ag ...
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Insurance Account Representative
3 days ago
Jose Rivera - State Farm Agent Jamaica, United States**Position Overview**: · Do you have aspirations to run your own business? If so, you may want to consider working in the office of Jose Rivera - State Farm Agent. As a member of our agency team, you have an opportunity to experience first-hand what it takes to be a State Farm Ag ...
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Insurance Account Representative
4 hours ago
John Hogan - State Farm Agent Queens Village, United StatesPosition Overview · State Farm Insurance Agent located in Queens Village, NY is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for John Hogan - State Farm Agent, you will build and develop customer relationships within the commun ...
patient accounts representative - Paramus, United States - Bergen New Bridge Medical Center
4 days ago
Description
Responsible to manage the Third Party Receivable for Paragon claims, to include clean claim submission, follow-up with payors, review of remittance from payor, review of denials and to identify root causes of problems preventing same. Utilize Paragon, Claims Administrator, Horizon Patient Folder and Emdeon applications.
Edit failed claims in the Claims Administrator system and correct data, revising claim to a passed status for submission to payor for Primary, Secondary, Tertiary, etc. Where required, create multiple claims. If error was due to incorrect information on Paragon, then have revisions made to Paragon and then re-bill account. Alert department responsible for error to avoid errors in future.
Review delinquent error reports, Unbilled Aged Trial Balances to identify reasons claims are held from billing. Satisfy those related to the Billing office. Communicate with the front end departments, i.e.: Patient Access, Ancillary Departments, and Medical Records for edits related to the respective area.
Monitor all related Paragon reports to identify claims requiring combination, sequential or interim billing.
Monitor Late Charge reports daily for rebilling.
Medicare Behavioral Health Inpatients – review available benefits to determine interim billing period.
Charity Care – validate eligibility for service period. Ensure billing data is accurate for recurring account claims.
Review Claims Administrator Reports daily, to monitor the following:
Prepare and perform follow-up for special and client billing for various payors.
Monitor responses from clearinghouse and payors to identify returned claims. Adjust claims accordingly, for resubmission to the payor.
Review Aged Trial Balances for claims in billed status not yet paid. Perform follow-up actions where required.
Manage receivables by exception. Follow-up on those not paid in accordance with expected reimbursement. Contact payor to discuss payment variances, submit adjustments where necessary. Prepare technical appeals where required. Refer accounts for clinical appeal where required.
Analyze, identify and report areas of high volume error, for enhanced automation opportunity in Paragon or Claims Administrator, or corrective actions in front end areas.
Daily monitor and working of tickler system in Receivables Administrator to include the following:
Utilize Horizon Patient Folder to monitor and follow-up on hard copy correspondence. Monitor and process all requests for Medical Record documentation.
Monitor claims in Medicare FSS.
