Account Representative Qualink - FT - (JJ11032)

The Account Representative uses a variety of tools to include the Internet, client systems, Company Databases and etc. to actively work the collection and management of healthcare accounts. Individual must build rapport over the telephone and present information in a professional and accurate manner. Incumbent must follow all company and client work standards and must meet performance criteria to include assigned goals. Duties include contacting consumers/payers of accounts by correspondence and telephone to discuss and secure prompt payment information and/or payment. Incumbent must exercise tact and sound judgment in obtaining voluntary cooperation, leaving legal sanctions as a last resort. Work is performed within clearly defined areas of regulations and procedures, and is reviewed and monitored by a supervisor or manager.ESSENTIAL RESPONSIBILITIES: (To include but not limited to the following)
Utilize established call model or client standards to secure a definite payment of claims and/or balance in the most expedient manner. Payers will include individuals and insurance companies.

Perform follow up activities with consumers and insurance companies to secure payment.

Obtain any additional information required to resolve the account. Full and complete information required.
Determine the best method of collection and advise the consumer of consequences of non-payment. Secure or request financial data to support accounts that are deemed not collectable.

Secure information to make health insurance billing as appropriate.
Secure information to make adjustments, trace payments or change entity data as necessary.
Follow up on contacts.

Research accounts utilizing both Qualink and client systems.

Telephone contact will be done from the dialer or from the account representative’s established route based on assignment from the supervisor/manager.
Maintain productivity requirements.

Perform skip tracing as required to determine location of consumer or payer using information provided and/or other approved skip tracing sources.
Respond to written correspondence as required.

Respond to payer requests for information.
Protect all client consumer information used during collection efforts in accordance with company confidentiality policies and comply with Corporate Information Security Policies and Procedures.

Other duties as assigned.This description is not intended as a complete list of specific duties and responsibilities.
We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing and criminal background checks.************************************************
TO APPLY FOR THIS JOBClick (or copy and paste) the following Link/URL into your browser address bar to be redirected to our job posting website and our online application form.
Job Requirements
See Job Description