AR Representative

Penn Medicine - Yardley, PA

Full-time

Yardley, 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 and effectively manages Accounts Receivable using established workqueues and process flows, meeting established productivity metrics.
• Proactively works with co-workers to collect on monies due as part of patient responsibility and assists patients in developing payment plans as needed.
• Identifies and tracks third party rejection types to determine rejection patterns and manages strategies to collect payments from third party payers.
• Monitors changes to third party reimbursement policies and billing procedures, recommending changes to billing policies as necessary.
• 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, completing charge entry responsibilities as needed.
• Effectively manages and resolves charge review, claim edit, and credit workqueues within designated benchmarks.
• Meets regularly with Manager to review status of A/R, special projects, and problematic accounts, identifying areas for improvement.
• Attends all required training sessions and maintains knowledge of necessary systems.
• 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 of experience working within medical office environments (Required).
• 1+ years of experience in physician billing responsibilities or accounts receivable management strongly preferred (Preferred).
• Bachelor's Degree in business, accounting, or healthcare administration preferred, with coursework in medical terminology (Preferred).
• Experience in the insurance/HMO industry or academic medical center strongly preferred (Preferred).
• Must pass any required exams for EMR access (Required).

Benefits

• Comprehensive compensation and benefits program
• Prepaid tuition assistance program