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Vendor Service Rep II in Houston, TX at Integrated Resources, Inc

Date Posted: 1/5/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Houston, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/5/2019

Job Description

Duration:0-4 month(s)

Description/Comment:

The position supports the Employer Solutions national collection network by reconciling and applying payments to vendors for collection services. Research and resolve discrepancies with vendor payments for collections services. Position is responsible for maintaining all supporting systems with accurate information to promote successful collection management for internal and external customers.
1. Constantly promotes a positive work environment and collaborates with cross-functional team members to support Employer Solutions business model.
2. Participates in the Employer Solutions initiatives that are aligned with the Blueprint.
3. Identifies, communicates, and resolves vendor payment and billing issues pertaining to the collection network.
4. Reconciles and applies payments to vendors for collection services utilizing multiple supporting systems.
5. Ability to communicate with all levels of internal and external professional levels via phone and email.
6. Informs collection sites on the proper use of their assigned site codes and outlines the appropriate billing procedures in order for a payment to be generated for services rendered.
7. Assists Accounts Payable in resolving collection site payment issues and identifies scenarios in which non-payment is necessary.
8. Provide ongoing support for the national collection network by preparing and correlating reports and costs differentials for services.
9. Performs other duties as assigned by Collection Services Manager and/or Team Leader.
Job Requirements:
Ability to problem solve with a great sense of accuracy.
Proficient in Word, EXCEL, Outlook, operating systems such as ORACLE, PeopleSoft, QTN and QBS as they relate to Employer Solutions.
Team oriented
Demonstrated ability to reconcile collection invoices and promote accurate payments.
Education & Experience:
Associates degree and/or equivalent combination of education and work experience.
1-3 year of Customer Service experience preferred
Associate degree and/or equivalent combination of education and work experience.


Job Accountabilities
Answer a high volume of calls from patients or their representative, regarding patient bill balances, payment plans, credit card payments, patient pricing, rebilling insurance companies and general customer concerns.
Process adjustments, refunds, transfer bills, mail returns and perform manual sales.
Evaluate and respond to all aspects of written billing inquiries, including but not limited to: billing insurances, and updating invoices
Research, troubleshoot and resolve complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution.
Maintain tracking log of all escalated patient correspondence, providing status updates to leadership as needed
Ability to perform all aspects of billing customer service as needed
May be a certified Medical Coder and/or involved in medical coding
Thorough navigation of both client Billing System and the web
Maintain all Compliance and HIPAA regulations at all times
Ability to work in a fast-paced environment
Ability to meet quality standards
Ability to meet production standards
Ability to handle other projects as assigned.

Additional Job Details:Ability to problem solve with a great sense of accuracy. Proficient in Word, EXCEL, Outlook, operating systems such as ORACLE, PeopleSoft, QTN and QBS as they relate to Employer Solutions. Team oriented Demonstrated ability to reconcile collection invoices and promote accurate payments. Education & Experience: Associates degree and/or equivalent combination of education and work experience. Job Accountabilities Focused efforts on increasing cash and reducing bad debt. Apply payments and denials to third party carriers in all media types Interpret Explanation of Benefits for appropriate follow up action. Complete refunds/adjustments to customers accounts, while providing necessary back-up information in order to maintain accuracy. Contact Third Party carriers to follow up on denied and unresponded claims. Analyze and apply denials Process and review claims Perform screen scrapes Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues Handle patient indigency and bankruptcy claims Make have contact with insurance carriers, clients, patients and/or other outside sources Regular research involving both the web and billing systems May be a certified Medical Coder and/or involved with medical coding. Maintain Compliance and HIPAA standards at all times Meet or exceed daily production standards Meet or exceed daily quality standards Ability to work on various other projects as needed.