nThrive

Senior Commercial Patient Account Representative

Job ID
2017-20967
Employment Type
full-time
Saddle River
Hours Per Week
0.00
NJ

Overview

The Senior Commercial Patient Accounts Receivable (PAR) Representative position is responsible for assisting patients with financial aspects of their hospital service and collecting outstanding balances. In this position, the candidate will also be expected to fulfill the role of mentor to both existing and newly hired patient account representatives on their team.  The Senior Commercial PAR Representative will report directly to his/her supervisor and should have the required skills that will enable them to fulfill the role of acting supervisor in the supervisor’s absence.  The ideal candidate must have 5 or more years of experience in the healthcare reimbursement industry primarily working with both Commercial insurance and Managed Care carriers.  The Senior Commercial PAR Representative must also possess a strong knowledge and understanding of all line of business contracts.

Responsibilities

  • Assist supervisor with the coordination and follow up of all claims from billing through final resolution.
  • Assist the team in the review and preparation of claims for manual and/or electronic billing submission.
  • Identify billing errors that require correction before it can be resubmitted to the payer. Educate your coworkers on why the error exists and help them understand what needs to be done to avoid repeat errors.
  • Assist the supervisor with the review of electronic billing system edits that are prohibiting the claim from moving through the system cleanly.
  • Work assigned accounts on a daily basis, according to project productivity and quality goals.
  • Review and follow up with the team on any payment errors, low reimbursement, appeals, denials, etc. that may need the Senior Commercial PAR’s expertise for resolution.
  • When needed, assist with the development of training documentation for new hires and established staff.
  • Create and maintain a supportive relationship with management and clients.
  • Communicate effectively with other departments within the company on client or payer changes that may impact their respective area.
  • Create an environment whereby the team feels comfortable coming to you with their work questions prior to going to the supervisor.
  • Keep current with all commercial and managed care pricing models, rules and regulations(including Medicare and Medicaid HMOs  and managed care pricing models, rules and regulations
  • Maintain a strong knowledge and understanding of all commercial payers within their specific project. (Including Medicare and Medicaid HMOs within their specific project.
  • Maintain a professional attitude and confidentiality at all times.

Qualifications

  • 5+ years experience in healthcare customer service or insurance collections field.
  • Strong knowledge of computer billing systems, especially X-claim.
  • Ability to train, mentor and lead a team.
  • Experience working with customer support/client issue resolution management.
  • Proficiency with MS Office
  • Excellent oral and written communication skills.

About nThrive

nThrive is the leader in providing end-to-end revenue cycle services, technology and education solutions. Previously known as MedAssets, Precyse, Equation and Adreima, each formerly a leader in its own right, we’ve combined our talents and capabilities into a single enterprise. At nThrive, we are people who are passionate about empowering health care for every one in every community. We work together to transform financial and operational performance, enabling health care organizations to thrive.
 
nThrive is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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