Account Manager

• Responsible for billing, follow-up, and managing denials to timely collect on assigned accounts receivable.
• This position communicates daily with team members and managers to meet prescribed deadlines.
• This role examines contracts and learns payer contracts to understand reimbursement methodology and appropriately reconcile patient accounts.
• This position resolves and resubmits rejected claims, processes daily and special reports, and reviews previous account documentation to determine necessary actions.
• Additionally, this role performs outgoing and incoming calls with patients and insurance companies to obtain information for accurate billing and collections.
• Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts.
• Examines contracts to ensure proper reimbursement, educates team members on inconsistencies, and documents any changes.
• Works follow-up reports daily, maintaining established goals, and notifies the supervisor of issues preventing goal achievement.
• Follows up on daily correspondence related to denials, underpayments, and billing to appropriately manage patient accounts.
• Assists customer service with patient concerns and questions to ensure prompt and accurate resolution.
• Produces written correspondence to payors and patients regarding claim status and requests for additional information.
• Reviews previous account documentation to determine necessary actions to resolve assigned accounts.
• Initiates next billing, follow-up, and collection steps, including contacting patients, insurers, or employers as appropriate.
• Documents billing, denials, and collection steps taken, escalating to the supervisor or manager if necessary.
• Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims.
• Communicates consistently with team members to foster a collaborative atmosphere and engages with the supervisor or manager on educational opportunities.
• Assists with training new staff, performs audits of work, and communicates progress to the appropriate supervisor.
• Other duties as assigned.

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