Accounts Receivable Representative 3 - Collections

Company: Carle Health
Location: Champaign
Posted on: January 24, 2023

Job Description:

Position Summary:




The Accounts Receivable Representative 3 is proficient in Accounts Receivable Representative 2 responsibilities. In addition, serves as an expert resource for escalated account activities for multiple payer product lines. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable.









Qualifications:




EDUCATIONAL REQUIREMENTS
Associate's Degree in Related Field

CERTIFICATION & LICENSURE REQUIREMENTS
CLEF/Front Line Leader certification may be required at Manager's discretion. Notary certification may be required.

EXPERIENCE REQUIREMENTS
Two (2) years of experience in health care with focus in healthcare business office operations and customer service required or a high performer as an Accounts Receivable Representative 2. Proficient in Microsoft Office applications such as Word, Excel, Outlook, Access, Visio and receivables management systems.

OTHER REQUIREMENTS
Possesses the other knowledge and skills of the Accounts Receivable Representative 2. Additionally, requires strong listening and negotiation skills.









Essential Functions:

• Must be able to perform essential job functions of Accounts Receivable Representative 2.
• Assists with developing policies and procedures, training materials and process flows including those related to system upgrades to ensure optimal performance.
• Mentors, trains, observes and educates staff to ensure quality and optimal staff performance.
• Facilitates maximization of revenue by ensuring that payer specific requirements are applied appropriately and claims are appealed as necessary.
• Assists with daily department flow; ensures appropriate staffing and optimal productivity levels.
• Handles escalated patient, provider and third party issues.
• Monitors dashboard for assigned payers. Analyzes AR and optimizes collection of accounts receivable.
• Responsible for system build, quality review and review of all user generated letters.
• Prepares and submits quarterly Medicare credit balance reports.
• Facilitates Medicare ADR, CERT and RAC audits as well as Compliance audits and Medicaid RAC audits.
• Acts as a liaison with external vendors and collection agencies.
• Assists in evaluation of billing opportunities related to new technology and/or services.
• Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement.
• Participates in projects, system upgrades, process improvements and implementations.
• Conducts team meetings and provides direction to team members.
• Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc.
  
  
  
  
  
  
  
  
  
  We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. - For more information: human.resources@carle.com.
  
  
  
  Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Keywords: Carle Health, Champaign , Accounts Receivable Representative 3 - Collections, Accounting, Auditing , Champaign, Illinois