What are the responsibilities and job description for the Follow-Up Account Representative position at Rivers Health?
Rivers Health is seeking a Follow-Up Account Representative to perform the following duties:
Responsible for collection of outstanding hospital receivables from third
party payors and payor representatives such as TPA's or fiscal
intermediaries; identification of potential uncollectible accounts and
referral to management for further action; preparation and maintenance of
collection-related records.
JOB RELATIONSHIPS:
Responsible to: Manager of Patient Financial Services
Nature of supervision received: Direct
Positions directly supervised: None
ESSENTIAL JOB FUNCTIONS:
The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below; and specific functions may change from time to time.
- Contacts patients/guarantors and third-party representatives via
electronic claim status inquiry, telephone, correspondence or
meetings to resolve outstanding large balances in accordance with
departmental follow-up procedures based on a prioritized work list
and tickler file.
- Investigates and/or ensures that questions and requests for
information are responded to in a timely and professional manner to
ensure resolution of outstanding accounts.
- Works with other internal/external departmental personnel to
expedite reimbursement.
- Prepares daily and weekly productivity statistics for management
review.
- Updates the accounts receivable system with appropriate
Documentation reflecting current billing and/or collection status.
- Prepares write-off recommendations in accordance with established
departmental policies and procedures.
- Responds to correspondence and calls.
- Documents the following data accurately for management reports;
cash adjustments, write-offs, etc.
- Maintains timely and accurate volume and productivity reporting for
management review.
- Performs other duties as assigned by Supervisor/Director.
- Demonstrates excellence in customer service skills.
- Fosters an atmosphere of teamwork and collaboration.
- Complies with Corporate Policies, Departmental Policies and
Procedures and Personnel Employee Handbook.
Requirements:
QUALIFICATIONS:
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this position.
EDUCATION AND FORMAL TRAINING:
High school education or equivalent.
WORK EXPERIENCE:
Relevant previous collection experience preferred (2-4 years in health care preferred).
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
Exhibits proficient written and verbal skills. Relevant previous
collection experience preferred (2-4 years in healthcare preferred).
Excellent working knowledge and understanding of laws governing collection practices. Proven ability to work independently. Ability to calculate fractions, decimals and percentages.
STANDARDS OF PERFORMANCE:
Rivers Health is committed to providing excellent service to our customers. Each and every interaction with your customers becomes an
opportunity to serve. Every employee is accountable for delivering an
excellent customer experience. Rivers Health Standards of
Performance pertain to: Attitude, Phone Etiquette, Customer Waiting, Call Lights, Wayfindings, Privacy and Facility Appearance.
PHYSICAL REQUIREMENTS:
Must demonstrate manual dexterity to operate equipment in the Patient
Accounts office. Must be able to withstand long periods of sitting. Must demonstrate visual acuity for reading computer screens. Must demonstrate abilities generally associated with this position.
EXPOSURE CATEGORY:
Category III. Tasks that involve no exposure to blood, body fluids or
tissues. Category I tasks are not a condition of employment.
