Account Associate - accounts receivable

Please do not submit any candidates that were rejected by the manager on her previous posting.

Client max bill rate ***
Supplier max bill rate ***

Prescreen questions:
Location on top of resume
Hybrid working model (in office 4 times a month)
How far are you from the Monroeville, PA office (must be 1 hr or less from office)?
Are you familiar with meeting any goals or metrics?
How do you deal with change and give an example of how you dealt with the change?
Make sure candidates do not have any other irons in the fire, a lot of NCNS for interviews.

This is a hybrid role and expectation is that they are in the office approx. 4 days per month + other days as needed for training etc.

***, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Insurance Follow Up Representative! The primary responsibilities of a Medical Insurance Coordinator are to ensure timely and accurate account resolution for outstanding credit balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Responsible for all account review associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding insurance and/or patient credit balances.
Maintains patient demographic information and data collection systems.
Complete all assigned work queues according to payer and company policy guidelines.
Work in a fast paced and team focused environment to ensure timely and accurate refunds to insurance providers and patients.
Research and respond to insurance companies and other third-party entities regarding overpayments and related questions by telephone, via the internet, and in writing.

Required Qualifications
1 + years experience performing health care reimbursement or insurance collections.
1+ years experience in Microsoft Office, specifically Excel, Outlook and Word.
Must live within 1 hour of Monroeville, PA office.

Preferred Qualifications
Experience with Specialty Pharmacy Billing/Collections
Problem resolution within healthcare reimbursement/claims.

Education
Verifiable High School Diploma or GED required

Position Summary:

***, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Insurance Follow Up Representative! The primary responsibilities of a Medical Insurance Coordinator are to ensure timely and accurate account resolution for outstanding credit balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Duties:

Responsible for all account review associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding insurance and/or patient credit balances.
Maintains patient demographic information and data collection systems.
Complete all assigned work queues according to payer and company policy guidelines.
Work in a fast paced and team focused environment to ensure timely and accurate refunds to insurance providers and patients.
Research and respond to insurance companies and other third-party entities regarding overpayments and related questions by telephone, via the internet, and in writing.

Experience:

Required Qualifications
1 + years experience performing health care reimbursement or insurance collections.
1+ years experience in Microsoft Office, specifically Excel, Outlook and Word.
Must live within 1 hour of Monroeville, PA office.

Preferred Qualifications
Experience with Specialty Pharmacy Billing/Collections
Problem resolution within healthcare reimbursement/claims.

Education:

Verifiable High School Diploma or GED required