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Account Resolution Representative

Integrated Medical Partners
Account Resolution Representative
Position Description
Company Description:
Integrated Medical Partners (IMP) is a full-service provider of profit-improvement solutions for medical practices. With a nationwide network of practice clients and experience, IMP is an organization that offers a fully integrated suite of business services to its clients, including: revenue cycle management (RCM); analytics & decision support; managed imaging workflow; strategic positioning & consulting.
Reports To: Account Resolution Department Manager
Position Summary:
The Account Resolution Representative (AR Representative) performs activities relating to resolving accounts receivable tasks, projects, issues and discrepancies with insurance and/or other third parties.
What Makes this a Great Opportunity:
IMP is a growing company, evolving with and adapting to the changing landscape of healthcare.
For an AR Representative, every day is different: you have the opportunity to use your ability to analyze and communicate well in order to positively impact your colleagues, clients, and patients in a variety of ways.
Perfect role for a person who loves to dig into the details and be in the weeds to identify problems and trends.
Directly impact top and bottom lines for IMP and its clients as well as ensuring that patients are correctly reimbursed.
Work within a true teamwork environment.
Potential for individual growth and evolution as IMP continues to grow and expand.
Essential Responsibilities:
Resolve insurance/payer related tasks created in PRISM follow-up queue as assigned
Accounts Receivable projects and additional queues as assigned
Provides early warning on backlog of queue tasks and AR to AR Team Lead
Print appeals batches from Scan Site, present to A/R Team Lead for review of volumes and global issues
Follow up by working and auditing insurance appeals
Identify best appeal means based on payer requirements
Prepare documents for appeals (appeal appropriate tasks using excellent claim judgment)
Understand payer filing and appeal filing limits
Document/distribute known payer information nuances, appeal letters, and forms to AR Team Lead (IE: Payer internal CCI edits, Medicaid rules, non-standardized modifiers, State Regulations; etc.)
Relay updated information for carrier profile/update carrier notes with pertinent information to AR Team Lead
Work well with A/R Team Lead, Client Solutions Manager, and, Provider Relations for project handling with a payer
Understand Revenue Cycle Management Standard Operating Procedures
Audit BPO appeals for accuracy
Returned Mail from insurance company-research and relay information to AR Team Lead
Strive to meet and exceed production requirements with the highest accuracy
Success Criteria:
Your success will be measured based on:
Ability to identify dig in to AR issues per direction from AR Team Leads
Upholding the highest standards for service quality and delivery deadlines, consistently.
Following SOPs based on trends and root cause analysis.
Participating in a teamwork oriented culture to provide the highest impact to IMP and its clients.
Basic Qualifications:
Must have 1+ years of medical billing experience; should have exposure to all aspects of the billing industry, including charges, payments, insurance follow up, aged reports, government payer and managed care policies.
Demonstrated knowledge of insurance carriers including federal, state, and private health plans.
Must have Strong PC Skills, with intermediate to advanced knowledge of MS Word and Excel.
Working understanding of CPT/ICD 10 codes
Excellent organizational and listening skills
Desired Qualifications:
College experience or degree preferred.
Strong written and interpersonal communication skills with ability to articulate messages and information, clearly and accurately.
Ability to interact professionally and productively with all levels of the organization and its clients.
Demonstrated ability to logically think through a situation considering resolution to the issue on the micro and macro levels.
Demonstrated ability to work in a structured/regulated and fast paced environment.
Ability to work a flexible schedule as business need dictates.
A do what it takes attitude and a strong team focus.
Strong analytical skills to identify claim trends and payer behavior with reporting skills that include the ability to organize and analyze data.
Compensation:
Competitive pay
Benefits:
Complete benefits package available
To apply for this position, please visit our website at:



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