Accounts Receivable

• Support with strategic oversight to direct, manage, and improve the revenue cycle operations
• Conduct daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs)
• Serve as the internal revenue cycle liaison for hospital leadership
• Work with hospital leadership to ensure understanding of revenue cycle processes and metrics
• Supervise multiple Managers and provide guidance and mentoring
• Recommend and establish changes to policies or processes to improve the revenue cycle
• Develop actions plans for metrics not meeting established goals
• Facilitate meetings with regional leaders to report financial performance and improvement plans

Director, Accounts Receivable

• Responsible for invoicing customers in a timely and accurate manner
• Proactively researching and resolving billing issues and questions
• Ensuring that margins on the jobs are at the expected percentage
• Proven ability to perform collections activities, including prioritizing follow-up actions and making informed decisions regarding payment plans, invoice credits, and bad dept designation.
• Responsible for the collection of accounts receivable for assigned customers
• Provides customers service regarding collection issues; resolving customer discrepancies and short payments
• Process and review account adjustments
• Monitoring and maintaining accounts, customer calls, account adjustments, small balance write-offs and customer reconciliation
• Accountable for reducing account delinquency
• Identify trends, related root causes, and appropriate actions to resolve, escalating to leadership when necessary
• Assist with accounting daily/monthly reports
• Identify and communicate process improvement opportunities
• Act as a back-up for other members of the billing and collection staff

Accounts Receivable Specialist – Billing and Collection

• Drives sales in assigned territory
• Engages with customers both face to face and virtually
• Develops and implements effective business and territory call plans
• Effectively builds rapport and relationships with customers in both live and virtual environments
• Leverages internal reports and analytics to identify business opportunities
• Educates providers on product value proposition and disease state information
• Collaborates with the organization to address customer inquiries and advance Pfizer objectives
• Completes all administrative expectations on time and compliantly

Cardiovascular Specialist

• 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

• Submits timely, accurate invoices to payer for products and services provided.
• Understands the terms and fee schedule for all contracts for which invoices are submitted.
• Correctly determines quantities and prices for drugs billed.
• Verifies that the services and products are correctly authorized and that required documentation is on file.
• Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
• Evaluates payments received for correctness and applies payments accurately to the system.
• Verifies that payments received are correct according to the fee schedule.
• Applies the payment correctly to the patient account.
• Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment.
• Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service.
• Transfers payments belonging to other offices within 48 hours of receipt.
• Follows up on invoices submitted to ensure prompt and timely payment.
• Calls to verify that claims submitted were received and are in processing.
• Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame.
• Generates and mails statements and collections letters.
• Follows-up on all denials within 48 hours of receipt.
• Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule.
• Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.

Revenue Cycle Specialist – AR Specialist – Medical Biller

• Provide support with the daily operations of the Accounting and Finance departments.
• Communicate with internal/external stakeholders as necessary to complete job duties.
• Ensure the strict confidentiality and privacy of financial records as they relate to the organization and its customers.
• Updates job knowledge and skills by participating in educational opportunities.
• Accomplishes accounting and organization mission by completing related results as needed.
• Cash Application: Process customer payments by verifying and recording lockbox deposits, electronic payments and credit card payments in a timely and accurate manner.
• Posts customer payments by recording cash, checks, and credit card transactions. Balance and post daily A/R cash batches.
• Process high volumes of transactions with high level of accuracy.
• Process and reconcile accounts receivables and remittances.
• Address payment issues with customers, such as double payments, overpayment, missing remits, or other discrepancies.
• Inform appropriate Collections and Sales team members about short paid issues daily.
• Escalate continued (2 or more payments) short paid items to Accounts Receivable Manager.
• Investigate and resolve misapplied cash transactions.
• Collections: Proactively resolves collections by examining customer payment plans, payment history, credit line; coordinating contact with collections department team.
• Maintain contact with all accounts at least twice per month.
• Contact accounts with 90+ days past due accounts weekly via phone.
• Communicate to Accounts Receivable Manager when accounts are approaching 90+ days past due.
• Maintain phone contact on all accounts 60+ days past due.
• Develop and maintain procedures to ensure customers are paying according to agreed upon payment plan; follow-up promptly when customers fail to pay as they promised.
• Educate customers on payment terms and solve issues with habitual slow paying accounts.
• Run and utilize weekly and monthly aging reports to manage their assigned customers’ payment history.
• Utilize Senior Collectors, Account Receivable Manager and/or Sales team for resolving very difficult situations.
• Maintain and monitor list of customers “On Hold,” ensuring that customers are in compliance with credit policies.
• Review all credit balances, refunds, and adjustments, and apply adjustments and/or corrections to customer accounts.
• Follow up with customers if there are any discrepancies on payments.
• Provide copies of invoices and/or updated reports to customers when required.
• Verify validity of account discrepancies by obtaining and investigating information from sales, contracts, customer service departments, and from customers. Resolves discrepancies.
• Develop relationships with customers to allow for better communication going forward.
• Demonstrate the ability to handle a portfolio and produce exemplary results.
• Other duties as assigned.

Accounts Receivable Specialist

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital.
• Focus the team’s efforts and ensure diligent team follow-up are crucial to this position.
• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential.
• Hands-on training of staff is a key element of this role.
• Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials.
• Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP’s and process improvement processes.
• Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information.
• Implement strategies to improve collection rates and reduce outstanding accounts receivable.
• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.
• Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management.
• Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.
• Identify areas for improvement and implement action plan to resolve payer and denial challenges.
• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
• Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)
• Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
• Proper utilization of federal and state credit collection regulations and guidelines
• Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity
• Coordinates agenda(s), presents findings on all scheduled conference calls

Manager, Accounts Receivable

• Ensure staff accurately perform billing, collections, and accounts receivable follow‑up for multiple facilities across all payer types.
• Partner closely on accounts receivable strategy, performance, and revenue cycle initiatives.
• Maintain financial integrity of daily operations through continuous monitoring of AR performance, productivity metrics, and workflow efficiency.
• Provide professional, operational, and technical guidance to AR staff; address escalated issues related to payer responses, account balances, and patient or family inquiries.
• Serve as administrator for payer portals and website access as needed to support staff efficiency and security.
• Ensure accurate capture, posting, reconciliation, and maintenance of all financial transactions, adjustments, and balances in alignment with payer mix and acuity across facilities.
• Communicate effectively with Utilization Review departments to ensure timely and accurate exchange of information impacting billing, authorizations, and denials.
• Assign and manage staff work queues through billing software; monitor progress and ensure timely completion of assigned tasks.
• Maintain ongoing communication with facility Business Office Managers to address facility‑specific AR issues and operational needs.
• Develop, implement, monitor, and evaluate AR quality assurance processes to ensure compliance with applicable laws, regulations, payer requirements, and internal policies.
• Recommend, develop, and update accounts receivable policies and procedures to support operational consistency and best practices.
• Review and approve all adjustments and refunds to ensure accuracy, compliance, and appropriate documentation.
• Attend, prepare for, and actively participate in weekly accounts receivable review calls.
• Support month‑end A/R close activities, including reconciliation, reporting, and variance resolution.
• Participate in the hiring, training, supervision, and performance evaluation of assigned accounts receivable staff.
• Conduct routine audits of collection documentation and notes to assess effectiveness, identify training needs, and address performance or corrective actions as appropriate.

Accounts Receivable Manager

• 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

• Monitors claim status and records in system daily for commercial insurance billing.
• Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims
• Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue
• Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances
• Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed.
• Handles correspondence from payers to ensure all information required for claim processing is provided.
• Review and resolve credit balances or unassigned money remaining on an account.
• Provides customer service and follow through on account questions.
• Assists with Special Projects as needed.

AR Specialist – Healthcare

• Process cash application tasks promptly and accurately
• Reconcile cash to invoicing and proactively resolve outstanding discrepancies
• Evaluate situations and determine when items should be escalated to management
• Contribute to Accounts Receivable reconciliation after cash posting
• Seek feedback from others and apply it to current and future tasks
• Meet daily and weekly metrics
• Collaborate with bank and internal departments to address receipt-related inquiries
• Identify opportunities to streamline processes and improve efficiency
• Stay updated on industry regulations and best practices to ensure compliance
• Understand and adhere to Acrisure's accounting best practices

Associate I – Cash Application and Accounts Receivable

• Keeps track of received data and source documents.
• Prepares and sorts source documents, and identifies and interprets data to be entered.
• Contacts originators of source documents to resolve questions, inconsistencies, or missing data.
• Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes. Makes necessary corrections to information entered.
• Compiles, sorts, and verifies accuracy of data to be entered.
• Keeps record of work completed.
• Reviews error reports and enters corrections into computer.
• Transmits entered information into database. Files or routes source documents after entry.

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