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|Job Category :
||Care Choice Home Care
||338 Via Vera Cruz, San Marcos, CA 92078
|Job Description :
||The HR/ Payroll Manager enters business-critical patient information into the Electronic Practice Management system including demographics, insurances, verified charges, and all necessary adjustments. Account Representatives will also be expected to manage accounts receivables aging and days out for assigned accounts, generate claims, send out patient statements, actively participate in collection procedures, field patient inquiries, research and appeal claim denials, coordinate re-submissions in addition to any and all other task as assigned. The Account Representative may be responsible for incoming and outgoing calls for the Business Office. Must be responsive to caller’s needs, routes telephone calls to appropriate parties and distributes messages. Account representative will also be responsible for payroll and HR Support as well.ESSENTIAL FUNCTIONS: The below is not intended to be an all-inclusive list of essential functions for the job described, but rather a general description of some of the responsibilities necessary to carry out the duties of this position.Answers incoming phone calls promptly in a professional and courteous tone of voiceManages assigned Accounts ReceivablesAccepts and applies payments to patient accountsPost Payments and moves monies when applicable on patient accountTrend and research claim denials to identify root causeCommunicates trends to SupervisorValidate credit balancesReturns patient calls in a timely mannerGives accurate information to patient regarding their account and balance dueUpdate patients’ demographicsUpdate patient account statusPatient follow-upRebillsInsurance follow-upClaims reviewReview patients’ statements as neededAnswer patient insurance inquiriesComplete various clerical tasks and help other departments as required i.e. mail out bills/statementsGenerate payroll and audit medical insurance, 401k plans and benefitsOther duties as assignedResponsible for all HR Paperwork and ProccessSKILLS, KNOWLEDGE & ABILITIES: Skills: Excellent internal and external customer service skills with ability to communicate effectively with a courteous tone on the phone and through email with patients, physician office staff, insurance carriers, and colleagues. Proficient computer software skills in MS Office Suite.Knowledge: Knowledge of principles of exceptional internal and external customer service, health plans , medical terminology and insurance authorizations.Abilities: Accurately answer patient and physician office inquiries regarding billing, enter accurate demographic/insurance information in PMS. Ability to manage AR reports in Excel. Must have strong attention to detail. Ability to problem solve and use good judgment. Ability to support mission, vision and values of Arch and make recommendations for improvements.COMPETENCIES: Functional/Technical Skills, Customer Focus, Compassion, Integrity and Trust, Teamwork, Communication Skills, Action-Oriented, Dependability, AdaptabilityREQUIREMENTS: High School Diploma or GED minimum requirementMedical Insurance Billing Certificate highly desirableProficient in Microsoft OfficePrevious experience in medical billing preferredPHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Constantly required to talk or hear. Frequently required to stand, walk, and sit; may sit for long durations of time. Frequent use of hands, fingers and arms. Occasionally needs to climb or balance, stoop, kneel, crouch, or crawl. Occasionally lift up to 20 pounds. Constantly required to see; review written material, computer screens & phones with the ability to adjust focus.Language Skills: Must be able to effectively communicate with patients, physician office staff and colleagues via telephone, electronically, and person-to-person; listening and exchanging accurate information, responding to questions, and conveying information. Ability to read and interpret documents such as patient data. Ability to write correspondence.Job Type: Full-timePay: From $64,500.00 per yearBenefits:401(k)401(k) matchingDental insuranceFlexible scheduleHealth insurancePaid time offVision insurancePhysical Setting:OfficeSchedule:Monday to FridayWeekend availabilitySupplemental Pay:Bonus payAbility to commute/relocate:San Marcos, CA 92078: Reliably commute or planning to relocate before starting work (Preferred)Education:Associate (Required)Experience:Payroll: 1 year (Required)Human Resources: 1 year (Required)Work Location: One location
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