Penn Medicine - Berwyn, PA

posted 5 days ago

Full-time - Mid Level
Berwyn, PA
Ambulatory Health Care Services

About the position

The Accounts Receivable (AR) Representative at Penn Medicine is responsible for maximizing revenue for the practice by managing the collection of payments from third-party payers. This role involves collaborating with practice managers and providers to maintain a patient-focused approach, ensuring high-quality care, and meeting financial and operational targets.

Responsibilities

  • Efficiently manage Accounts Receivable using established work queues and process flows.
  • Meet established productivity metrics.
  • Proactively work with co-workers to collect on monies due as part of patient responsibility.
  • Develop payment plans with patients as needed.
  • Identify and track third party rejection types to determine rejection patterns.
  • Facilitate maximized revenue by managing strategies to collect from third party payers.
  • Monitor changes to third party reimbursement policies and billing procedures.
  • Review, process, and challenge all rejections and denials, escalating notable trends to the Practice Manager.
  • Identify issues related to timely filing and communicate appropriately.
  • Process charge files and append necessary data.
  • Complete charge entry responsibilities as needed.
  • Manage and resolve charge review, claim edit, and credit workqueues within designated benchmarks.
  • Meet regularly with Manager to review status of A/R, special projects, and problematic accounts.
  • Review Indicator and Productivity Reports with manager and identify areas for improvement.
  • Manage special projects related to AR as assigned.
  • Attend all required training sessions and maintain knowledge of required systems.
  • Respond to questions, requests, and support calls efficiently and professionally within established timeframes.
  • Work effectively to meet project and assignment deadlines.

Requirements

  • High School Diploma (Required)
  • 4+ years of experience working within medical office environments (Required)
  • Must pass any required exams for EMR access (Required)

Benefits

  • Comprehensive compensation and benefits program
  • Prepaid tuition assistance program
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