AR Representative (Arizona)

About the Role

The Accounts Receivable (AR) Manager ensures the accurate and timely processing of all assigned claims under the direction of the Director or Manager of Revenue Cycle Management. This role involves addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials, and following up on aged claims. The AR Manager resolves escalated claim issues using Salesforce case management.

Responsibilities

• Manage accounts receivable (AR), including analysis of aged AR to identify root cause issues and suggest billed rules/edits to prevent errors.
• Handle denial management by investigating denial sources, resolving and appealing denials, and contacting payer representatives via phone.
• Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Collaborate with internal teams (Performance, Operations, Sales) and care center staff as needed.
• Support large care center go-lives, which may include overnight travel.
• Work closely with the Revenue Optimization team to ensure reimbursement aligns with payer contract agreements.
• Perform denial analysis using the Trizetto platform.
• Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality.
• Drive toward achievement of the department’s daily and monthly Key Performance Indicators (KPIs).
• Perform other duties as assigned.

Requirements

• High School Graduate.
• 3+ years of experience in a medical billing office or equivalent claims experience.
• Understanding of the drivers of revenue cycle optimal performance and ability to investigate and resolve complex claims.
• Advanced Microsoft Excel/Google Sheets skills (e.g., pivot tables, VLOOKUP, sort/filtering, formulas) preferred.
• Experience with athenaHealth and/or athenaOne highly preferred.
• Experience working with AZ payers and providers preferred.
• Must comply with HIPAA rules and regulations.
• Independent decision-maker with strong research skills.

Pay

The hourly range for this role is $24/hr - $26.45/hr in base pay, exclusive of any bonus or benefits. This role is eligible for an annual bonus targeted at 10% based on performance.

Benefits

• Medical, dental, and vision insurance.
• Life and pet insurance.
• 401K retirement plan.
• Paid time off.
• Other wellness programs.

Schedule

Technical requirements for remote workers: Minimum 5 MBPS download speed and 3 MBPS upload speed. Employees working remotely may be eligible for expense reimbursement to offset internet costs.