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Home Care PFS Accts Rec Rep
King of Prussia, PA
Job Description
Client Summary: Our Client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives.
Job Description: Home Care PFS Accts Rec Rep
The primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables.Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines. Work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved.
Essential Functions
1. Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient's medical record.
2. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management.
3. Complete payor projects as assigned and document all follow up activity.
4. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims.
5. Assist in obtaining/maintaining department's cash goals.
6. Provide all home care patient financial services functions in accordance with the company, CHHC policy and all regulatory and accrediting agency guidelines
7. Perform other duties as assigned by management.
Education Requirement: High School Diploma / GED Required
Work Experience
Benefits offered to our workers include the following:
We are committed to providing equal employment opportunities to all employees and applicants without regard to race, religion, color sex, national origin, citizenship status, age, sexual orientation, gender identity, marital status, uniform service member status, genetic information, disability, or any other protected status, in accordance with all applicable federal, state, and local laws. This practice extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms and conditions of employment.
Job Description: Home Care PFS Accts Rec Rep
The primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables.Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines. Work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved.
Essential Functions
1. Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient's medical record.
2. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management.
3. Complete payor projects as assigned and document all follow up activity.
4. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims.
5. Assist in obtaining/maintaining department's cash goals.
6. Provide all home care patient financial services functions in accordance with the company, CHHC policy and all regulatory and accrediting agency guidelines
7. Perform other duties as assigned by management.
Education Requirement: High School Diploma / GED Required
Work Experience
- At least one (1) year experience with computers. Required
- At least two (2) years experience in health care billing. Required
- Level 2A Worker No Covid Vaccine Required
- Previous billing/reimbursement experience.
- Strong organizational skills.
- Strong verbal and communication skills.
- Basic application and computer skills.
- Strong data entry skills
Benefits offered to our workers include the following:
- Medical Insurance
- Vision & Dental insurance
- Life Insurance
- 401K
- Commuter Benefits
- Employee Discounts & Rewards
- Payroll Payment Options
We are committed to providing equal employment opportunities to all employees and applicants without regard to race, religion, color sex, national origin, citizenship status, age, sexual orientation, gender identity, marital status, uniform service member status, genetic information, disability, or any other protected status, in accordance with all applicable federal, state, and local laws. This practice extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms and conditions of employment.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1 year
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