Accounts Receivable Representative

Responsible for assisting in the management of cash for Rice

Memorial Hospital and all Rice entities. Applying payments, contractual discounts, moving cash, monitor discounts and denials.


• JOB RELATIONSHIPS:

A. REPORTS TO: Accounts Receivable Supervisor B. SUPERVISES: None C. INTERRELATIONSHIPS WITH: Department and hospital personnel; other

healthcare facilities; patients; general public.


• HOURS OF WORK: 8:00 a.m. to 4:30 p.m. Monday through Friday.


• DRESS CODE: Per Department Dress Code
• ESSENTIAL REQUIREMENTS OF WORK (Minimum qualifications necessary to

function at full productivity).

A. EDUCATION AND TRAINING: Graduate of medical office assistant program or experience in a healthcare setting, and/or two year accounting degree, or equivalent experience in a healthcare or banking setting. Requires advanced knowledge of Microsoft Office applications especially in Microsoft Excel. Proficiency in typing and keyboarding.

B. EXPERIENCE: Prefer background in a financial institution or health insurance

claims field.. Previous experience working with public is a plus. C. JOB KNOWLEDGE: (Specific): Basic accounting skills, strong communication

skills, ability to efficiently use office equipment, including word processing, Microsoft Excel and other computer applications. Emphasis on confidentiality, accuracy of information and good Microsoft Excel skills. Accuracy in typing/keyboarding, medical terminology. Must be a quick learner and a self-starter. Knowledge of federal regulations pertaining to Medicare and insurance billing.


• BUDGET: N/A

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• CLIENTELE DIRECTLY AFFECTED BY JOB: Patients, families, medical staff,

general public, other facilities; department personnel; other hospital personnel.
• PHYSICAL DEMANDS OF THE JOB: Sitting, typing; Minimal physical demands.
• PHYSICAL ENVIRONMENT OF THE JOB: Usual working conditions involving

adequate light, temperature, etc.
• EQUIPMENT OR MACHINES USED ON THE JOB: Telephone, computer

terminal, copy machines, fax machines, credit card machine.
• MENTAL DEMANDS OF THE JOB:

A. JUDGEMENT AND INITIATIVE: Good judgment and communication skills needed when receiving payments from patients, insurance companies and other facilities. Must have the ability to take initiative in identifying areas for improvement and offering suggestions for improvement.

B. INDEPENDENT ACTION: Excellent organizational skills needed to work

and function independently with minimal supervision. Must be able to work efficiently and multitask, as well use appropriate judgment with time management in regard to the daily required operations.

C. EFFECT OF ERROR: Accuracy is essential in handling cash and applying

discounts to avoid application to the wrong accounts and assuring that receivables are flowing into the proper general ledger accounts. Relations with patients and other healthcare facilities would suffer if errors are made on their accounts. Cash application errors could result in loss of productivity in areas affected by cash application, overpayment of Minnesota Care Taxes and understating/overstating receivables. Inaccurate claims or submitting to the wrong carrier will delay payments and have a negative effect on hospital cash.

D. CONTACT WITH OTHERS: Patients, department and other hospital

personnel, other healthcare facilities, general public


• PRINCIPAL JOB RESPONSIBILITIES, TASKS, AND AUTHORITIES:

A. SERVICE EXCELLENCE: 1. Priority: A 2. PERCENT OF THE TIME: Inherent in every aspect of job 3. Discretion: C

Tasks: The Accounts Receivable/Billing Representative must possess excellent customer service skills including, compassion and empathy, professionalism sensitivity to cultures,

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religions and disabilities. Rice Memorial Hospital is committed to The Service Excellence program. The Business Office's commitment to this program is our highest priority. Patients and visitors must be greeted in a prompt and courteous manner. Genuine friendly acknowledgement is a must at all times. Your role at Rice is to make a great first impression

Authorities: Employee has the authority to act under hospital guidelines. Employee to discuss any situations outside the guidelines with manager.

B. RESPONSIBILITY: Process and Move Payments

PRIORITY: A % OF TIME: 70% DISCRETION: A

TASKS: 1. Moves payments on insurance accounts. 2. Post incoming payments and contractuals for Rice Memorial Hospital and

Rice entities; both electronic remittance files and a daily batch received from mail clerk.

3. Move payments from undistributed buckets as well as other instances as needed.

AUTHORITIES: The employee has the authority to complete and carry out the above tasks according to department procedure.

C. RESPONSIBILITY: Collection and entry of data regarding the Minnesota

Revenue Recapture program PRIORITY: A % OF TIME: 10% DISCRETION: A

1. Oversees the revenue recapture program including balance review/reconciliations, updating accounts appropriately, and maintaining new accounts.

D. RESPONSIBILITY: Review of claim payments and auditing of work queues,

including resolution of remaining balances, as well as review of insurance coverages.

PRIORITY: A % OF TIME: 10% DISCRETION: A

1. Reviews previous day's patient registrations for accuracy, correcting information in computer system as necessary.

2. Contacts insurance companies for verification of coverage, need for certification and hospital benefits available and updates accounts as needed.

4. Researches accounts containing credit balances and determines appropriate action to resolve the credit. a. By refund. b. By submitting a corrected claim.

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c. By adjustment if contractual adjustment posted incorrectly. 5. Maintains Accounts according to departmental expectations (Percent of

total Final Bills generated).

E. RESPONSIBILITY: Other Duties

PRIORITY: A % OF TIME: 10% DISCRETION: A

TASKS:

1. Attends monthly staff meetings. 2. Maintains good public relations 3. Answers telephone inquiries 4. Perform other duties as assigned. AUTHORITIES: The employee has the authority to complete and carry out the above tasks according to department procedure.

F. RESPONSIBILITY: Continuous Quality Improvement

PRIORITY: A % OF TIME: N/A DISCRETION: A

TASKS:

1. Demonstrates understanding of the CQI philosophy. 2. Participates in CQI training activities or CQI teams if appropriate. 3. Demonstrates sensitivity to customers and their needs. 4. Interacts appropriately with internal customers, i.e. coworkers within

department, staff across departments. 5. Interacts appropriately with external customers, i.e. patients, families,

medical staff, vendors. 6. Role models positive behaviors. AUTHORITIES: The employee has the authority to complete and carry out the above tasks according to department procedure.