PFS A/R Representative II (req num: 10138) AR/PACS STPH Covington, LA
- Day shift
Summary of the Job:
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.
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
St. Tammany Parish Hospital is a full-service acute care facility committed to providing world-class healthcare while using the latest technology. We are the second-largest employer in the parish and have been delivering quality healthcare since 1954. St. Tammany Parish Hospital partnered with Ochsner Health System in 2014 and together we are focused on increasing local access to care, improving quality and reducing the cost of healthcare for area patients.
Contact : Jennifer Randazzo
Email : firstname.lastname@example.org
Tel : 985-898-4540
Fax : 985-898-4360
Address : Jennifer Randazzo 1202 S. Tyler Street, Covington LA