Responsibilities include, but are not limited to ensuring that:

• Ensure AR Representatives contact payers to check claim status and reimbursement. As needed, will contact referring physicians or the hospital to obtain additional information to assist with the collections process.
• Review and audits Representatives’ productivity and quality of work. In collaboration with the RCM Education department, identifies Representatives’ areas of additional training needed.
• Assist with Representatives’ difficult accounts and workload including supporting the team by directly working accounts.
• Works closely with the Supervisor of RCM daily to ensure a smooth operation within the department. Provides backup support to department staff during Supervisor’s absence.
• In collaboration with the RCM Education department, assists with training all new hire employees once the employee has started working accounts and continually provides training to the Representatives.
• Ensures employees in the department are working denials timely.
• Helps the Supervisor of RCM monitor the not worked report to ensure AR Representatives are working accounts timely.
• Identifies denial trends and works with Supervisor of RCM to implement claims manager or other solution to prevent denials and minimize any avoidable adjustment.
• Assisting the Supervisor of RCM with work queues. (Updates accounts with information obtained through correspondence and telephone. Completes account maintenance by ensuring that the correct statement groups, financial class, and payer codes are current and timely.)
• Meet or exceed required departmental productivity standards on a consistent basis.

Requirements:

• Basic Microsoft Office experience.
• Ability to communicate both verbally and written.
• Ability to effectively present information and respond to questions from customers and vendors.
• Ability to read, analyze, and interpret general business documents, technical procedures,
• and governmental regulations.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to calculate figures and amounts such as discounts and percentages.

Education/Experience:

• Associate's degree (A.A.) or equivalent from a two-year college preferred; or equivalent combination of education & experience.