New Accounts Representative opens a variety of new accounts for customers including checking, IRA, CD and others. Collects required information from new account customers and completes account set up process including data input, verifying references, and documentation. Being a New Accounts Representative provides information and answers questions regarding interest rates, fees, and bank policies. May complete process to transfer accounts for customers. Additionally, New Accounts Representative makes appropriate referrals to cross-sell a variety of bank services. May require an associate degree. Typically reports to a supervisor or manager. The New Accounts Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
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:
Claims Imported
Claims Failed
Claims Not Imported
Edit Statistics (Reasons claims failed)
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:
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
Utilize Horizon Patient Folder to monitor and follow-up on hardcopy
correspondence. Mitor and process all requests for Medical Record
documentation.
Monitor claims in Medicare FSS.
Maintains established departmental policies and procedures, objectives,
quality assurance program, safety, environmental, and infection control
standards. Promotes adherence to the Patient’s Bill of Rights.
Understands and adheres to departmental policies and procedures.
Adheres to the Medical Center’s Code of Conduct.
Familiar with the Medical Center’s Mission, Vision and Value statements.
Maintains established departmental policies and procedures, objectives,
quality assurance program, safety, environmental, and infection control
standards.
Customer Service: respect, flexibility, knowledge, confidence, professionalism,
pleasant attitude, patience and helpfulness. All responses should be timely,
professional, caring, and respectful in accordance with Customer Service
Performance expectations.
Qualifications
Education
Required
Experience
Required