Accounts Receivable Representative II - Remote

About the role

This position is not open to candidates residing in California, Hawaii, or Alaska.

Responsibilities

• Contact insurance companies for status on outstanding claims.
• Process and follow up on appeals to insurance companies.
• Refile claims as needed.
• Work correspondence daily.
• Maintain basic proficiency with using spreadsheets.
• Audit adjustment requests and complete when appropriate.
• Resolve manual tasks assigned to AR for follow up.
• Work outstanding accounts receivable from assigned work queues.
• Meet productivity standards as set by the department.
• Maintain an accuracy rating of 97% or greater on audited accounts.
• Maintain strictest confidentiality.
• Work to become a subject matter expert across multiple workflows and various payers.
• Identify and communicate trends to leadership.
• Perform other duties as assigned.

Requirements

• High school graduate or equivalent.
• Associate or bachelor’s degree in business administration or related field of study is preferred.
• 1–3 years of professional or healthcare experience is preferred.
• 1–3 years of Accounts Receivable experience is preferred.

Qualifications

• Excellent verbal and written communication skills.
• Basic math skills for calculating anesthesia units, proper reimbursement, and adjustment percentages.
• Understanding of medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• High-accuracy data entry skills.
• Knowledge of CPT, ICD-10, and ASA codes.
• Strong problem-solving and decision-making abilities with sound judgment.
• Strong analytical skills and attention to detail.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians, and external customers.
• Pleasant disposition and high tolerance level.
• Ability to work as part of a team and independently with limited supervision.
• Self-motivated and goal-oriented.
• Skilled in Microsoft Word, Excel, Outlook, and Teams.

Physical demands

• Occasional standing.
• Occasional walking.
• Frequent sitting.
• Frequent hand and finger movement.
• Use office equipment (in office or remote).
• Communicate verbally and in writing.

Pay

The base pay range is $16.49 – $26.39 per hour. The final offer will depend on the candidate’s skills, experience, and qualifications. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus; bonuses are not guaranteed and are awarded based on company and individual performance.