Accounts Receivable

• Ensuring that all payments received are processed in an efficient and accurate manner.
• Providing assurance that cash, accounts receivable balances and revenue accounts are properly reflected on the balance sheet and income statements.
• Maintaining an in depth working knowledge of the NetSuite and other internally developed databases by updating and maintaining all customer information, records, payments and deposits into the NetSuite, Salesforce and CMS system and balancing checks and payments to batch totals.
• Researching and processing unidentified deposits and bank transfers and monitoring all un-applied payments to ensure the prompt and proper recording of revenue.
• Researching and processing aged AR and aged customer credits to maintain integrity of overall AR balances and reporting.
• Maintaining an accurate customer database by performing timely data entry processing for all customer/member orders, registrations, memberships, subscriptions, renewals, address changes, billing and invoices processes.
• Aiding in billing ensuring that invoices are processed into customer portals timely.
• Maintaining detailed records of access points for all portals.
• Processing and depositing payments received for SAE, PRI and affiliates that require specialized handling, in a prompt and accurate manner.
• Handling various credit and collection responsibilities.
• Additional Projects as Assigned.

Accounts Receivable Associate

• Drives sales in assigned territory
• Engages with customers both face to face and virtually
• Develops and implements effective business and territory call plans
• Builds rapport and relationships with customers in both live and virtual environments
• Understands and leverages internal reports and analytics for strategic opportunities
• Compliantly leverages product and disease state knowledge to educate providers
• Collaborates effectively and compliantly across the organization to address customer inquiries
• Completes all administrative expectations on time and compliantly

Cardiovascular Specialist

• 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

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
• Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
• Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
• Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
• Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.

AR Specialist

• Ensure timely and accurate processing of customer invoices, payments, and account reconciliation.
• Prepare and send invoices and customer account statements.
• Monitor aging reports and follow up on overdue accounts.
• Maintain accurate AR files and records.
• Assist in preparing AR reports for management.
• Work closely with finance and operations teams to resolve issues promptly.

Accounts Receivable Specialist

• Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up
• Verify eligibility, identify payor changes, and accurately update coordination of benefits (COB); navigate payor portals to identify correct payors
• Make outbound calls and collaborate with insurance payors and partner facility business offices for claim resolution; answer incoming calls professionally
• Identify and communicate denial trends and coding issues to support clean claim processing
• Perform account reconciliation — identify overpayments, complete refund requests, and process insurance takebacks via ERAs
• Resolve assigned worklist items with detailed account documentation; maintain daily AR log reporting to Supervisor and meet department productivity standards

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
• Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
• Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
• Follow up on denials immediately and communicate any trends to CBA
• Follow up on any open A/R tickets in Salesforce as assigned by CBA
• Meet deadlines assigned for A/R work as assigned by CBA
• Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Follow up on claims submitted electronically for primary and secondary payors
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items as designated by CBA
• Post payments or submit missing payments to posting team and maintain A/R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Review & interpret payor contracts when applicable
• Measure and monitor key metrics related to work performance
• Attend customer meetings as needed with CBA
• Work to meet POD goals collectively as cohesive team
• Foster a positive work environment for colleagues

• Invoice customers as required by bills of lading and production schedule
• Process adjustments for discrepancies by issuing invoices and/or credits
• Maintain monthly credit tracking spreadsheet
• Assist customers via phone or email with inquiries to resolve discrepancies
• Backup position for front desk during breaks and absences

AR Coordinator

• Upload invoices and statements to electronic portals
• Prepare and distribute past due invoices and reports
• Research and respond to customer inquiries
• Assist with customer account reconciliations
• Respond to Information Requests according to company guidelines
• Support monthly and quarterly audits
• Serve as the liaison between the company and its clients

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