Responsible for a specific assignment of outstanding A/R that requires resolution of the outstanding balance according to the A/R Policy and Procedures.
Basic Functions:
- Responsible for achieving KPI’s/Metrics set by Management
- Investigates/resolves denied and short paid transactions in a timely and effective manner.
- Manages work queue to insure all accounts are worked, timely and appropriately in monthly cycle.
- Follows the department Policy and Procedures set by Management.
- Identifies key challenges driving AR, escalates to Management for resolution at a global level.
- Provides training and mentorship to new hires and AR Representatives on an on-going basis.
- Ability to analyze AR work queue, provide recommendations for resolution and identify billing and payment trends.
- Ability to maneuver through various billing systems and understand work flow.
- Communicates with Business Partners, providing excellent customer service in order to reconcile outstanding account balances using approved collection techniques.
- Works to resolve account balances of an assigned portfolio of accounts. Required actions taken may include (but not limited to) write-offs, appeals, transfers, review of EOBs and other carrier correspondence, litigation and self pay referrals.
- Works with internal departments and Business Partners in identifying carrier trends to escalate for resolution. This may include missing bill files, incorrect bill form types, missing documentation, etc).
- Works with Collections Manager/Supervisor of other member of the Management Team on special projects as needed.
Competencies:
- Analytical Skills – Ability to analyze and synthesize information to understand issues and identify options.
- Active Listening – Ability to give full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Organizational Skills – Ability to multitask.
- Flexibility – Ability to work in a fast paced environment.
- Computer Skills – Possesses intermediate to advanced Microsoft Suite Knowledge (Word, Excel, PowerPoint).
- Communicating Effectively – Ability to write and present effectively; adjusts to fit the audience and the message; strongly gets a message across.
- Detail Oriented – Ability to be well organized and resourceful, has the ability to reduce a complex concept or task into something that is manageable and clearly interpreted.
- Team player – Ability to manage strong working relationships within the company. Able to complete tasks and work cooperatively with others.
- Adaptability – Ability to respond and adapt to changing circumstances and to manage, solve problems and provide solutions in a climate of ambiguity.
Job Qualifications:
Education
- Required: HS diploma and equivalent experience
- Desired: Associates degree
Work Experience
- Required: 5 + years of billing and collections in the Healthcare industry.
- Intermediate to advanced MS Office use of Excel.
Licenses/Certifications:
- Required: N/A
Job Scope:
- Total Number of Associates this position oversees: 0
- Number of Direct Reports: 0
- Title(s) of Direct Reports: N/A
Work Environment:
The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is generally quiet to moderate.
PhYsical and mental requirements:
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
- Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling , repetitive motions, talking and hearing.
- Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus.
- 50% or more time is spent looking directly at a computer.
- Associate is frequently required to stand, walk (or otherwise be mobile).
- Ability to deal with stressful situations as they arise.
Career path:
- Specialist: Finance Specialty Area
- Technical: N/A
- Management: Technical Lead
Interested parties please contact Kelli Peltier at the Tampa Bay Workforce Alliance: [email protected] or 813-930-7586.
