JOB DESCRIPTION:

           

Direct Reports: 0

Sensitive/ confidential data handled: N/A

Responsibilities:

• Research and resolve payment discrepancies.
• Review and manage the AR aging report and provide explanations of past due balances to management.
• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Identify issues or trends with accounts and provide suggestions for resolutions.
• Escalate exhausted appeals efforts for resolution with payer.
• Performs assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.
• Able to submit a root cause analysis report.
• Prepare write off requests as needed for any uncollectable balances.
• Keeps supervisor informed of areas of concern and problems identified.
• Provide training to new and existing staff members as instructed by supervisor. Use and follow company procedures in training. Quality check work to ensure accuracy, efficiency and uniformity. Re-train staff as often as needed.
• Ensure staff complete all assigned tasks in a timely manner and that they have the resources and tools to perform their jobs. i.e. access to software. Advise supervisor immediately if they do not.
• Review/knowledge of contracts to determine correct reimbursement for each account.
• Analyze and document A/R problems and implement processes to enhance efficiencies.
• Documenting accurate and appropriate notes on corresponding systems as needed.
• Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner.
• Provide coverage as needed to include performing staff’s work during their absences as assigned by management. Assist in areas of needs as assigned by supervisor.
• Maintains positive and regular results-oriented communication with payer representatives.
• Navigate and works all payer websites. Provide support to staff as needed.
• Enroll in payer newsletters and advise manager of needs.
• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.
• Utilizes strong communication and customer service skills.
• Consistently practices good judgment and problem-solving skills when handling confidential information.
• Regular attendance and punctuality.

Key Results:

• Working Denials in a timely manner that results in cash collection goals.
• Represent company and team in a professional and positive manner.
• Meet and exceed daily and monthly productivity goals.
• Detailed oriented, careful and with a focus on quality in accomplishing tasks.
• Able to toggle between computer screens
• Issues identified and resolved within an average of 48 hours.
• Adapts to changing business needs, conditions, and work responsibilities.
• Effective communications with staff and management.
• Always maintain confidentiality.
• Present ideas for improvements and strategies to meet goals. Offer viable solutions to problems.
• Promote teamwork, remaining available to assist staff as needed.
• Performs any other function as required by management.
• Report to manager any non-compliance with staff as observed by you.
• Participate in personal development training and cross training as instructed by management.

Competencies required:

Behavioral Standards:

• Exhibits customer and service-oriented behaviors in every day work interactions.
• Demonstrates a courteous and respectful attitude to internal workforce and external customers.
• Treat others with unconditional respect, dignity and equality

Communication/Knowledge:

• Provides accurate and timely written and verbal communication of information in a manner that is understood by all.
• Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome.
• Able to use IT systems in an accurate and proficient manner.

Collaboration/Teamwork:

• Contributes toward effective, positive working relationships with internal and external colleagues.
• Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization

Minimum Qualification:

• High school diploma or GED required
• Associate degree preferred
• Preferred years of experience – Level I 1 to 3 years, Level II 3 to 5 years
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Excellent computer proficiency (MS Office – Word, Excel and Outlook)
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices

     

The base pay for this position is

N/A

In specific locations, the pay range may vary from the range posted.

     

JOB FAMILY:

Accounts Payable & Receivables, Credit & Collection, & Payroll

     

DIVISION:

HF Heart Failure

        

LOCATION:

Philippines > Taguig City : Five/Neo Building

     

ADDITIONAL LOCATIONS:

     

WORK SHIFT:

Standard

     

TRAVEL:

Not specified

     

MEDICAL SURVEILLANCE:

Not Applicable

     

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)