Accounts Receivable Representative III (Remote)

Principal Duties And Responsibilities

• Captures and follows up on unpaid claims.
• Makes follow-up and reimbursement appeals for unpaid and improperly paid claims.
• Identifies, investigates, and ensures timely processing of billing errors and corrections related to claims.
• Collaborates with internal and external resources to identify and resolve issues.
• Reviews and works daily correspondence, including appeals of denied claims.
• Performs audits on accounts to review for accuracy and updates accounts with relevant information.
• Contact patients, referring providers, or hospitals to obtain better insurance information, authorizations, or updated patient demographics.
• Ensures correct statement groups, financial classes, and payer codes are used accurately.
• Documents all follow-up actions on the account to maintain an accurate record of collection efforts.
• Assists in completing the workload of AR Representatives 2 to support productivity and outcome measures.
• Maintains a working knowledge of CPT and ICD-10 codes and stays updated on healthcare practices and laws related to claims collections.
• Performs other job-related duties as requested by management.

Position Qualifications

• A high school diploma or equivalent certification is required.
• An associate degree or equivalent from a two-year college is preferred, but not required.
• At least 3 to 5 years of health care claims reimbursement and denial resolution experience is required.
• Knowledge of major commercial payers such as Aetna, BCBS, Cigna, UHC, and Medicare/Medicaid payer guidelines is essential.
• Strong computer skills, including proficiency in MS Word and Excel, are required.
• Excellent verbal and written communication skills, including professional telephone etiquette, are necessary.
• Ability to maintain confidentiality and comply with HIPAA regulations is crucial.
• Exceptional organizational and time management skills are important.

Total Rewards

• Generous benefits package, including:
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities are available.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.