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
• Identifies and implements live/virtual engagement strategies with customers
• Builds rapport and relationships with customers in live and virtual environments
• Utilizes internal reports and analytics to assist with strategic business opportunities
• Leverages product and disease state knowledge to educate providers
• Collaborates effectively across the organization

Cardiovascular Specialist, Health and Science Professional

• 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

AR Specialist

• The AR Specialist is responsible for collection efforts on Insurance Accounts
• Handle the accounts receivable for Ambulatory Surgical Centers
• Submit appeals and research denials from Insurance Carriers
• Follow up on denials in a timely manner
• Demonstrated experience with writing appeals, initiating appeals/follow-up on appeals
• Must be comfortable interacting with insurance representatives

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Cardiovascular Specialist, Health and Science Professional

AR Specialist

Insurance AR Specialist