Accounts Receivable

• Drives sales in assigned territory
• Engages with customers both face to face and virtually
• Develops and implements effective business and territory call plans; effectively identifies and implements live/virtual engagement strategies with customer to maximize overall effectiveness and impact
• Effectively builds rapport and relationships with customers in both live and virtual environments; uses judgment to maintain customer engagement by successfully utilizing existing and ever-changing digital tools effectively for successful customer engagement
• Understands and leverages internal reports and analytics to assist with identifying, developing, and implementing strategic business opportunities
• Compliantly leverages product and disease state knowledge to appropriately educate providers on unbranded and branded product value proposition for relevant patient populations and effectively and strategically utilizes approved clinically oriented disease state information and patient resources, as applicable
• Demonstrates strong teamwork capabilities to collaborate effectively and compliantly across the organization to address customer inquiries and advance Pfizer objectives.
• Completes all administrative expectations on time and compliantly.

Cardiovascular Specialist, Health and Science Professional

• Flex across assigned functional areas (eligibility, demographics, billing, edit resolution, AR follow-up, and denial management) based on client volume, priority, and engagement need
• Verify active insurance coverage and benefits using payer portals, EDI 270/271 transactions, and direct payer outreach; document coverage details including effective dates, plan type, network status, copays, deductibles, coinsurance, and benefit limitations
• Determine primary, secondary, and tertiary payer order in accordance with coordination of benefits rules; identify Medicare Secondary Payer, workers' compensation, motor vehicle accident, and third-party liability scenarios
• Flag services requiring prior authorization, pre-certification, or referral and route to the appropriate team
• Review, correct, and validate patient demographic, guarantor, subscriber, and insurance plan data in the EHR, PMS, or registration system; resolve demographic-related rejections and registration errors at the root
• Submit clean claims directly to payers via Medicare DDE/FISS, state Medicaid portals, and payer-specific direct submission channels, working natively in client EHR and billing systems rather than exclusively via clearinghouse
• Resolve front-end claim edits, scrubber rejections, and pre-submission errors at the source system level, including demographic, eligibility, payer ID, modifier, diagnosis, and revenue code corrections
• Interpret and resolve NCCI procedure-to-procedure edits, MUE edits, LCD/NCD policy edits, and bundling logic
• Correct UB-04 and CMS-1500 field-level data including revenue codes, HCPCS, occurrence/conditions/value codes, modifiers, place of service, and rendering provider information as applicable
• Work aged accounts receivable, prioritizing high-dollar and high-aging balances to maximize cash collections
• Contact payers via phone, portal, and electronic inquiry to determine claim status, identify denial or pending reasons, and drive claims toward payment
• Research and resolve claim denials and underpayments by identifying root causes and taking corrective action (rebilling, reconsiderations, appeals, corrected claims, medical records submission)
• Prepare and submit written appeals with supporting clinical documentation, operative reports, and payer policy references
• Identify and pursue underpayments by comparing actual reimbursement against expected contract terms
• Manage payer follow-up across all payer classes including Medicare (Traditional and Advantage), Medicaid, commercial, managed care, workers' compensation, TRICARE, and VA
• Analyze rejection and denial trends to identify systemic issues and escalate with data-driven recommendations to leadership
• Collaborate with coding, charge capture, patient access, HIM, and client-side teams too resolve upstream issues impacting claim payment
• Document all account activity with clear, concise, and actionable notes in the source system
• Maintain productivity and quality standards in a high-volume, deadline-driven, metrics-oriented environment
• Maintain full compliance with HIPAA, payer guidelines, CMS regulations, and federal/state billing regulations at all times
• Assignments may shift across functional areas based on client needs and individual strengths within the scope of the revenue cycle

AR Specialist

• Ensure the accuracy and integrity of receivables accounts through timely reconciliations
• Perform monthly reconciliations for various non-dealer accounts
• Publish dealer statements and process electronic funds transfers
• Collect overdue amounts from dealer and non-dealer accounts
• Prepare and deliver monthly AR Securitization reports
• Maintain accurate financial records and support the financial health of the organization

Accounts Receivable jobs in Louisiana

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Cardiovascular Specialist, Health and Science Professional

AR Specialist

Accounts Receivable Clerk

Cardiovascular Specialist