AR Representative

Entity: CCA‑Penn Primary Care and Penn Specialty Practices

Department: Penn Primary Care Walnut Street

Location: 700 Walnut Street

Hours: Part‑Time

About the role

The Accounts Receivable (AR) Representative is responsible for facilitating maximized revenue for the practice by managing strategies to collect monies from third‑party payers. The AR Rep assists the practice manager and providers in maintaining a patient‑customer focus, supports the delivery of highest quality care, shares a passion for patient‑centered care, and helps meet or exceed patient satisfaction and financial and operational targets.

Responsibilities

• Efficiently and effectively manage Accounts Receivable using established workqueues and process flows.
• Meet established productivity metrics.
• Proactively work with co‑workers to collect monies due as part of patient responsibility, including developing payment plans with patients as needed.
• Identify and track third‑party rejection types to determine patterns.
• Facilitate maximized revenue by managing strategies to collect monies from third‑party payers.
• Monitor changes to third‑party reimbursement policies and billing procedures and inform or recommend changes to billing policies.
• 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; may also complete charge entry responsibilities.
• Effectively manage and resolve charge review, claim edit, and credit workqueues within designated benchmarks.
• Meet regularly with the Manager to review A/R status, special projects, and problematic or unusual 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 systems, internally and externally required of the position.
• Respond to questions, requests, and support calls efficiently and professionally within established timeframes.
• Work effectively to meet project and assignment deadlines.
• Perform duties in accordance with Penn Medicine and entity values, policies, and procedures.
• Perform other duties as assigned to support the unit, department, entity, and health system organization.

Qualifications

• High school diploma or GED.
• 4+ years experience working in a medical office environment.
• 1+ year experience in physician billing responsibilities or accounts receivable management (strongly preferred).
• Bachelor’s degree in business, accounting, or healthcare administration and coursework in medical terminology (preferred).
• Experience in the insurance/HMO industry or academic medical center (strongly preferred).

Benefits

• Comprehensive compensation and benefits program.
• Prepaid tuition assistance program (one of the finest in the region).
• Employee health and wellness programs.

Schedule

Part‑Time