Account Resolution Representative

Partner with PrideStaff where we work for you!

PrideStaff is a national staffing organization with branches across the U.S. – each office locally-owned and plugged into the community. We get to know you and proactively advocate on your behalf with leading employers. Our goal is to see you succeed! We are seeking a highly skilled, enthusiastic and energetic Account Resolution Representative for our client in Livermore. Great opportunity to work for a great company!!

Primary Responsibilities:

• Performs various collection actions including; contact with insurance companies and patients by phone.
• Reviews zero pays to determine proper handling.
• Correcting and resubmitting claims to various carriers if applicable.
• Provides requested information to carriers to complete claim processing.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares and reviews accounts for payments made to patients.
• Follows protocol for notification to patients for payments made directly to them.
• Follows and reports status of delinquent accounts.
• Allots time each day to work clearinghouse rejected dashboard.
• Participates in educational activities and attends staff meetings.
• Conducts self in accordance with Avee’s employee manual.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Education:

Minimum: High School Diploma

Skills/Experience:

• Knowledge of medical billing/collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the public.
• Must be well organized and detail-oriented.

Environmental/Working Conditions:

• Normal office environment.
• Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Physical Demands:

• Requires sitting and standing associated with a normal office environment.
• Manual dexterity needed for using a calculator and computer keyboard.

Benefits

At Pridestaff, we recognize and appreciate our team member’s hard work and enthusiasm! Therefore, we are proud to offer the Testing Service Representative a comprehensive benefits package!

Benefits package as a placed Field Associate include:

• Medical, Rx, and Wellness Benefits
• Dental and Vision Plan Options
• Sick Pay
• Holiday Pay