COORD- ACCOUNTS RECEIVABLES

• Oversite and management of all A/R staff team members.

• Coordinate A/R Department tasks under Direction of Business Office Manager & Director to ensure daily work processes are completed.

• Keep current with all non-government Billing and Reimbursement regulations as well as claim filing rules on all other payers. 

• Ensures contracted payers abide by reimbursement agreement by keeping abreast of payer guidelines and changes. 

• With help of A/R Specialist investigates unidentifiable payments and ensures proper application and or refund. 

• Performs overview of monthly reports for all non-governmental and facility aging and identifies problem areas.  Notifies Business Office Manager of issues

• Capable of working multiple job positions and assists for PTO and vacant positions as needed within the Business Office.

• Prepares monthly denial reports to present and report to denial management meetings as well as looks for ways to reduce denials. 

• Oversees the management of employee payroll deduction and refunds.

• Follows legal guidelines and hospital policy on cashier functions, bad debts, bankruptcies, crime victims, facilities, liens and insurance payments. 

• Negotiates discounts with non-contracted payors and or attorneys following Business Office policies. 

• Required to complete monthly rounding’s and yearly employee evaluations. 

• The duties of this position are not limited to the job description and can be changed by management when deemed necessary

High school diploma or GED is required

Must be able to communicate effectively in English both verbally and in writing

• Minimum of 2 years related experience required.

• Must have knowledge in all areas of insurance claims with emphasis on understanding of revenue code, CPT codes, and surgical procedure codes.

• Knowledge in non-governmental claim filing requirements and reimbursement rules. 

• Basic mathematical knowledge including understanding of debits and credits.

• Contributes to a team concept for maximum effectiveness and productivity

• Must be able to prioritize tasks according to oral and written instructions.

• Tact, diplomacy, and perception required in daily contact with co-workers, patients and third-party payers.

• Demonstrates professional aggression, patience, tact, persistence and the ability to convey job functions to new hires. 

• Must be able to prioritize work according to oral and written instructions using organizational skills and sound judgement.

• Must be able to tolerate ambiguity, flexibility, and adaptability to progressive change

• Required to work a 40-hour week schedule, Monday through Friday, 8:00 a.m. to 5:00 p.m., however, may be required to work additional hours

• Requires good time management skills and attention to detail

• Requires the use of office equipment such as computer terminals, telephones, 10-key adding machine, and credit reporting machine, fax machine.

• Above average knowledge in Excel and Word.

Ability to work under pressure and stress

Must distinguish between numbers and symbols

Requires eye-hand coordination and manual dexterity, corrected vision and hearing to normal range

Category III Employee has no occupational risk of exposure to blood or Other Potentially Infectious Materials (OPIM).

• Identifies and alerts Business Office Manager and Director of Billing issues.

• Reviews and reports on Monthly Aging for all non-governmental and facility payors to Manager.

• Assigns and ensures Daily work processes are completed by A/R staff.

• Ensures claims are filed, appropriate follow-up is taken, and payments received through reporting & claim aging reports.

• Works closely with HB and PB Billing coordinators on payer audits to ensure accuracy and provides reporting for YTD results. 

• Ongoing and as needed research and reporting on non-governmental claim issues.

• Ensures knowledge of changes from non-governmental payers by reading multiple communication pathways such as paper newsletters, e-newsletter, updates from payers on individual claims and researching internet information for each payer.

• Work with Manager to address staff education on any changes or new processes with an emphasis on high priority issues.

• Develops a working relationship with Patient Access, Medical Records and Case Management for review of non-governmental claims.

• Active participant in Admitting, Billing, and Collection Monthly Meeting

• Reviews department productivity with Manager on a monthly basis and aids in developing ways to improve.

• Performs all other tasks/responsibilities as necessary.