Job description

POSITION SUMMARY

Perform duties to support the Revenue Cycle Management team with the collection, retention, preparation, and processing of accounts receivable and payment documentation, working within the limits of standard or accepted practice. Demonstrate the company’s core values of respect, honesty, integrity, diversity, inclusion, and safety.

ESSENTIAL JOB FUNCTIONS

• Support completion and submission of medical paper claims to ensure timely and accurate collection of receivables
• Support completion and submission of Puerto Rico medical claims in certain jurisdictions to ensure timely and accurate collection of receivables
• Assign and/or scan electronic and hard copy documents, refunds, and adjustments to patient files in billing and collection system
• Prepare periodic invoices for manufacturer data and/or service fees and follow up to monitor invoices to ensure collection within expected period, flagging past due invoices for further action; assist with additional billing and invoicing as requested
• Gather documentation as requested, submit to management for review, and transmit documentation for payer audit; submit payer audit results as directed
• Collect, sort, scan and/or disburse correspondence to billing, collection, and/or reimbursement associates
• Scan and distribute payments received to corporate cash posting team; identify appropriate EOBs (Explanation of Benefits) and assign patient payments
• Assist in answering and directing incoming phone calls for the team
• Participate, as requested, in document retention support for reimbursement billing, audit tracking and documentation collection
• Work the daily manifestos and completes and maintains the customer payment spreadsheet in certain jurisdictions
• Prepare the daily bank deposit for customer payments in certain jurisdictions
• Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
• Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
• Perform other related duties as assigned
• Must be able to perform the essential job functions of this position with or without reasonable accommodation

BEHAVIORS/SKILLS

PUTS THE CUSTOMER FIRST: Anticipates customer needs, champions for the customer, acts with customers in mind, exceeds customers’ expectations, gains customers’ trust and respect.

COMMUNICATES EFFECTIVELY AND CANDIDLY: Communicates clearly and directly, approachable, relates well to others, engages people and helps them understand change, provides and seeks feedback, articulates clearly, actively listens.

ACHIEVES RESULTS THROUGH TEAMWORK: Is open to diverse ideas, works inclusively and collaboratively, holds self and others accountable, involves others to accomplish individual and team goals.

LEADS THROUGH POSITIVE INFLUENCE: Demonstrates strong character; builds partnerships; models a conscious balance between work and personal life; takes personal responsibility for own development; role models leadership qualities such as motivation, inspiration, passion and trust.

COACHES AND DEVELOPS OTHERS: Develops and cares about associates, builds effective teams, helps people be their best, values and manages diversity, provides candid and constructive feedback.

LEADS CHANGE AND INNOVATION: Challenges the status quo, embraces technology, puts forward creative ideas, champions and implements process improvements, gathers the ideas of others, demonstrates good judgment about which ideas will work.

EXECUTES WITH EXCELLENCE: Is action oriented, drives for results, sets clear expectations and milestones, reviews progress, acts decisively, solves problems, can be counted on to consistently meet or exceed goals.

PROVIDES CLEAR AND STRATEGIC DIRECTION: Plans and organizes well, sets a clear and simple course of action, stays focused on the most important priorities, has the ability to visualize and plan for the future, understands the industry and marketplace.

SAFETY AWARENESS: Identifying and correcting conditions that affect employee safety; upholding safety standards.

MINIMUM POSITION QUALIFICATIONS

• High School Diploma or GED
• Any additional related training
• Demonstrated competency in Microsoft Office Suite, including Outlook, Word and Excel
• Effective active listening and comprehension skills
• Ability to effectively communicate clearly and concisely to convey information for ease of understanding
• Ability to prepare written communication that represents a positive business image

DESIRED PREVIOUS JOB EXPERIENCE/EDUCATION

1 year accounting experience

POTENTIAL CAREER PATH FROM THIS POSITION

• Cash Applications Specialist
• Reimbursement Specialist
• Credit Specialis
• #RXSourcing

Job Type: Full-time

Pay: From $15.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical collections: 1 year (Preferred)

Work Location: One location

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