AR Representative

Penn Medicine - Cherry Hill, NJ

Full-time

Cherry Hill, NJ

Ambulatory Health Care Services

About the position

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. The Accounts Receivable (AR) Representative plays a crucial role in facilitating maximized revenue for the practice by managing strategies to collect payments from third-party payers. This position requires a strong focus on patient and customer care, supporting the delivery of high-quality services while meeting financial and operational targets. The AR Representative will work closely with the practice manager and providers to ensure that patient satisfaction is prioritized alongside financial performance. In this role, the AR Representative will efficiently manage Accounts Receivable using established work queues and process flows, meeting established productivity metrics. They will proactively collaborate with co-workers to collect on outstanding payments and, when necessary, assist patients in developing payment plans. The representative will also be responsible for identifying and tracking third-party rejection types to determine patterns, monitoring changes to reimbursement policies, and recommending adjustments to billing procedures as needed. Additionally, they will review, process, and challenge all rejections and denials, escalating notable trends to the Practice Manager. The AR Representative will be expected to manage charge review, claim edit, and credit work queues effectively, ensuring that all tasks are completed within designated benchmarks. Regular meetings with the manager will be held to review the status of Accounts Receivable, special projects, and any problematic accounts. The representative will also attend required training sessions to maintain knowledge of necessary systems and respond to inquiries and support calls in a timely and professional manner. Overall, this position is integral to the financial health of the practice and the satisfaction of its patients.

Responsibilities

• Efficiently and effectively manages Accounts Receivable using established workqueues and process flows.
• Proactively works with co-workers to collect on monies due as part of patient responsibility.
• Works with patients to develop payment plans as needed.
• Identifies and tracks third party rejection types to determine rejection patterns.
• Facilitates maximized revenue for the practice by managing strategies to collect monies from third party payers.
• Monitors changes to third party reimbursement policies and billing procedures.
• Informs and/or recommends changes to billing policies.
• Reviews, processes and challenges all rejections and denials, escalating notable trends to the Practice Manager.
• Identifies issues related to timely filing and communicates appropriately.
• Processes charge files and appends necessary data, may also complete charge entry responsibilities.
• Effectively manages and resolves charge review, claim edit and credit workqueues within the designated benchmark.
• Meets regularly with Manager to review status of A/R, special projects, and problematic or unusual accounts.
• Reviews Indicator and Productivity metrics with manager and identifies areas for improvement.
• Manages special projects related to AR as assigned.
• Attends all required training sessions, maintains knowledge of systems, internally and externally required of position.
• Responds to questions, requests, and support calls efficiently and professionally within established timeframes.
• Works effectively to meet project and assignment deadlines.
• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.

Requirements

• H.S. Diploma/GED and 4+ years experience working within medical office environments (Required).
• 1+ years experience in physician billing responsibilities or accounts receivable management strongly preferred (Preferred).
• Bachelor's Degree in business, accounting, or healthcare administration preferred.
• Coursework in medical terminology preferred.
• Experience in the insurance/HMO industry or academic medical center strongly preferred.

Nice-to-haves

• Experience in the insurance/HMO industry or academic medical center strongly preferred.

Benefits

• Comprehensive compensation and benefits program including prepaid tuition assistance programs.
• Health and wellness programs to support employee health.