Accounts Receivable Representative III - On Site

About the role

The Accounts Receivable Representative III is responsible for collecting outstanding accounts receivable from third party payers, both government and commercial. The base pay estimate for this role is $18.17 – $29.04 hourly; 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. The position is eligible for a quarterly bonus, which is not guaranteed and is awarded based on company and individual performance.

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
• Provide peer payer and system training support
• Gather data and report out in partnership with leadership
• Perform all other duties as assigned

Requirements

• High school graduate or equivalent
• Associate or bachelor’s degree in business administration or a related field of study is preferred
• 1–3 years of professional or healthcare experience is preferred
• 3+ years of accounts receivable experience is preferred
• Excellent verbal and written communication skills
• Basic math skills for calculating anesthesia units, proper reimbursement, and percentage-based adjustments
• 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-motivation and goal orientation
• Proficiency in Microsoft Word, Excel, Outlook, and Teams

Physical demands

The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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