PFS A/R Representative II

Company Name:
St. Tammany Parish Hospital
Responsible for all duties involved with the follow-up and prompt collections of inpatient and outpatient 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.
Required experience: Prefer 3-4 years in a business office. Managed Care experience is required.

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