FRx- AR Specialist II

Fresenius Medical Center Franklin, TN

About the Job

**PURPOSE AND SCOPE:** Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMCNA policy requirements. Under limited supervision of the AR Manager, performs cash posting and reconciliation of balances within the AR Billing/Collections Department. Works with collectors and outside paying parties to assure correct identification and application of received payments. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Establishes and maintains relationships with outside resources in order to obtain needed information to resolve any discrepancies and/or remittances. + Utilizes critical thinking and analysis to determine account application problems and issues requiring follow-up. + Releases orders on credit hold in accordance with policy and procedure. Monitors, processes, and updates credit card profiles. + Processes changes to customer profiles in various billing and provisioning systems to ensure delivery of invoices and billing deliverables. + Assists in the review of all remittance 3rd party price changes/billing cycles for accuracy as needed. + Provides information and assistance to patients and insurance companies. Performs administrative functions relative to patient and insurance issues. + Maintains AR spreadsheets and accounts receivable reports required for management reporting. + Coordinates banking log with accounting to assure accuracy in financial reporting. + Requests credit/debit memos and initiates refund requests pursuant to submitted requests and customer disputes. + Submits adjustment requests for manager approval and processes approved system adjustments and write-offs, as needed, on customer and third party payer account balances. Logs all approved and posted adjustments into accounting spreadsheet. + Interprets payer remittance advices and performs necessary system functions to post bulk or single payments from third party payers. + Processes all adjustments to clear from the accounts as well as removal from AR for bad debt, deceased accounts, etc. + Assists in payment lockbox mail. + Processes customer payments including credit card transactions and ACH transactions. + Prepares payment posting batches and reconciles balancing between remittances and posted payments. Maintains Excel spreadsheet of posted payments. + Identifies and researches discrepancies that occur on 3rd party payment remittances, working towards a resolution. + May perform AR Specialist I patient collection duties and responsibilities, as needed. + May provide assistance to AR Specialist I with more general support tasks that require a better understanding of AR functions, as directed by AR Manager. + May refer to AR Specialist III for assistance with higher level problems that may arise. + Escalates issues to AR Manager for resolution, as deemed necessary. + Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. + Assist with various projects as assigned by direct supervisor. + Other duties as assigned. **Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.** **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day- to-day work includes desk and personal computer work and interaction with 3rd party businesses, patients, staff, and physicians. + The position may require travel between assigned facilities and/or various locations within the community. Travel to regional, Business Unit and Corporate meetings may also be required. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. EDUCATION: + High School Diploma required; Associate’s Degree desirable + Pharmacy Technician certification beneficial **EXPERIENCE AND REQUIRED SKILLS:** + 1 – 2 years’ experience with Cash Application and reconciliation experience in Healthcare related field or pharmacy. + Excellent customer service and interpersonal skills required. + Proficient use of computer and related software such as Microsoft Office (Excel and Word); New Leaf experience a plus. + Ability to learn and apply basic skills needed to work with pharmacy systems. + Ability to learn pharmacy dispensing regulations and standard medical abbreviations and terminology. + Ability to learn and adopt established billing practices and policies. + Ability to interpret an extensive variety of technical instructions and convey those to others. + Ability to maintain patient confidentiality at all times + Excellent communication skills, both verbal and written. + Dependable, focused, and professional at all times. + Detail oriented and able to work under deadlines. + Ability to work under general supervision; a self-starter who effectively prioritizes work load to meet established guidelines. + Analytical and able to apply proper research and critical thinking to interpret and correct cash application and cash accounting issues. **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity**