Accounts Receivable Rep - Patient

Position Summary

The patient accounts receivable representative will be responsible for maintaining industry standards for the A/R they are assigned to in regards to aging, collection rates, and DSO. This position will post payments, contractuals, and courtesy adjustments as needed; be responsible for the follow up on all outstanding patient claims; work the patient aging reports as directed by the A/R Manager, be responsible for lowering their aging patient A/R to acceptable standards, and help in the preparation of accounts that are to be sent to the collection agency.

This position will have certain receipt requirements and bonus potential as listed in Attachment 1.

• Follow up daily on all outstanding patient claims they are assigned to
• Post contractual adjustments and transfer deductibles to patient accounts based of correspondence received from the insurance
• Post the payments they obtain through their collection calls to
• Assist with claim resubmission projects when
• Prelist accounts that are deemed to be sent to the collection
• Review accounts that have partial or under
• Handle incoming calls from patients previously contacted regarding claims and patient
• Review accounts to determine if billed
• Treats patients and co-workers consistent with the Next Care Mission Statement, Vision, Values and Performance
• Performs other related duties as assigned or described in Company

Please see corresponding Task List for this position for additional responsibilities

• Education:
  
  High School diploma or equivalent
• Experience:
  
  Must have two years experience billing electronic and paper physician claims. Experience with Managed Care contracts, Medicare and Medicaid.

• Experience:
  
  Medical collections experience;
  Next Gen software experience

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the essential functions of this job, the employee is occasionally required to stand; walk; sit; lift; carry; use hands to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds.

While performing the essential functions of this job, the employee will be exposed to working conditions commensurate with a traditional office environment.