A/R Representative

Overview

• Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.

• Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).

• Requires some knowledge of medical terminology and CPT/IDC-10 coding. Excellent communication, analytical, interpersonal, and organizational skills.

• Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.

• Ability to type 35 WPM.
  
  

Primary Duties and Responsibilities:

• Contributes to the achievement of established departmental and Patient Financial Services (PFS) goalsand objectives, and adheres to department policies, procedures, quality standards, and safety
  standards.

• Complies with governmental and accreditation regulations. Meets minimum Productivity (60 accts per day) and Audit minimal Standards (95% accuracy).

• Attends training sessions and workshops offered, to include but not limited to, AAHAM certification training, bulletin review, etc.

• Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame. Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.

• Maintains daily performance benchmarks and meets a minimum of 95% of established productivity standard;

• Maintains departmental quality assurance (QA) standard of 95% or better

• Meets monthly departmental key performance indicators (KPIs) as it applies to open receivable, aged AR, credit balances, and high dollar accounts

• Participates in PFS workgroups, staff meetings and work events.

Requirements:

• 2 years of hospital A/R experience.