PFS A/R Representative II

St. Tammany Parish Hospital

Job Description

Responsible for all duties involved with the follow-up and prompt collections of professional claims on Managed Care account balances. All outstanding claims must be resolved in a timely manner. Responsible for telephoning patients and/or insurance companies to resolve account balances.

Maintain assigned accounts receivable at or below specified departmental targets and goals; use and refer to managed care manuals, payor matrix and hospital policies to determine appropriate discounts and contractual arrangements are posted to the accounts. Participate in special assignments, programs or initiatives relating to departmental performance; report denial trends or problem issues with payors, processes or policies; participate in payor specific meetings when needed.

Minimum Qualifications: Must be a High School graduate or equivalent; must have a working knowledge of the computer and all office equipment. Prefer 3-4 years in a business office. Managed Care experience is required.

Knowledge of Microsoft products, including Excel and Word. Good communication skills, orally and written. Ability to work with patients, employees and other departments. Strong analytical and problem solving skills.

Physical Demands:

Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 10 pounds is required.

Physical Effort required: Constant (67%-100%) talking, hearing, seeing

Frequently (34%-66%) NONE

Occasionally (1%-33%) - lifting, carrying, pushing/pulling, climbing (stairs, ladders, poles, etc.), balancing, crouching, crawling, reaching, handling/feeling

Employment Type