About Our Company
At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. Doctors today are faced with the reality of spending more time on administrative tasks than caring for patients. Physician burnout and fatigue are an epidemic, and the healthcare experience and quality suffer as a result. At Altais, we’re building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve.
About Your Team
Are you looking to work with a high performing, fast growing and dynamic PPO team? Altais and our subsidiaries, form one of the most recognized medical groups in California. We are 3,000+ physicians, working in over 40 cities in California, caring for more than 350,000 patients. If working in a mission driven organization supporting highly competent, hard-working, thoughtful clinicians who value good ideas and are passionate about reshaping healthcare excites you, then we are thrilled to welcome you to your new career.
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This position is located in our brand-new Oakland City Center location, or remotely (within the state of California). We are flexible provided you are open to traveling to the Oakland office locations as needed.
About Your Work
The PPO Account Rep role is responsible to provide a full range of revenue cycle management support to PPO contracted physicians and their practice offices. Account Rep Accurately performs multiple tasks to meet the full cycle billing payments to our contracted provider. These tasks include Epic Resolute Work Queue assignments, payment posting, correspondence and CRM review and resolution. The account Rep is responsible to track all inquiries and appropriate follow-up are required. Works with B&T departments in the resolution of all customers inquires in a timely and professional manner.
You will focus on:
- EPIC Resolute Work queue assignments
- EPIC CRM research and resolution
- EPIC Payment Posting
- ImageNet Correspondence, Appeal & EOB inventory
- Coordinates with internal and external sources to obtain necessary information to resolve claims, escalates issues as appropriate to Lead, Supervisor or Manager.
- Provide education and assist in trouble shooting for Customer Service and other departments related to PPO Claim processing
- Adhere to established production and quality standards.
The Skills, Experience & Education You Bring
- Demonstrate ability all PPO Claims are resolved satisfactorily and within established Turnaround times.
- Demonstrate ability to conveys confidence and expertise through the utilization of appropriate reference materials when resolving claims
- Ability to research issues and follow up with providers or Customer Service within the established turnaround time measures and escalate complicated issues to appropriate team members
- Demonstrate ability in oral and written communications, professional approach to problem resolution and organizational skills.
- Demonstrated ability to work as an effective team member always recognizing the need for a positive way.
- High School Degree or GED
- 2+ years of Revenue Cycle management in an IPA or Professional billing setting
- 2+ years of knowledge of Claim Clearing house management, i.e. ChangeHealth
- 2+ years of understanding and application of ICD-10, RVS, CPT codes, basic medical terminology.
You Share Our Mission & Values:
- You are passionate about improving the healthcare experience and want to be part of the Altais mission.
- You are bold and curious- willing to take risks, try new things and be creative.
- You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
- You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
Altais is a leading network of independent doctors focused on delivering personalized and high-quality health care in over 40 cities in California. Its network of more than 3,000 physicians, serving more than 355,000 HMO, ACO and PPO patients, is dedicated to improving care and reducing costs through innovative care management and care coordination programs, use of health care technology, and population health management strategies. For more than 30 years, Altais and its family of companies has proudly collaborated with leading hospitals and health plan providers to provide high quality care in California
Please note that Brown & Toland Physicians is a wholly owned subsidiary of Altais Clinical Services, a division of Altais. Other subsidiaries in the Altais family of companies include Altais Medical Group Riverside and Family Care Specialists Medical Group.
Job Type: Full-time
Pay: $25.00 - $32.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Do you reside in the state of California?
Experience:
- ICD-10, CPT and HCPC: 2 years (Required)
- Revenue Cycle management: 2 years (Required)
- Claims Clearing House: 2 years (Required)
- Epic: 1 year (Required)
Work Location: Remote
