Accounts Receivable Representative III
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Job Description
Accounts receivable representative collecting outstanding government and commercial payer accounts for U.S. Anesthesia Partners. Managing claims, appeals, adjustments, and payer follow-up remotely.
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 spreadsheets
- Audit adjustment requests and complete them when appropriate
- Resolve manual AR follow-up tasks
- Work outstanding accounts receivable from assigned work queues
- Meet department productivity standards
- Maintain an accuracy rating of 97% or greater on audited accounts
- Maintain strict confidentiality
- Develop subject-matter expertise across multiple workflows and payers
- Identify and communicate trends to leadership
- Perform other assigned duties
Requirements:
- High school graduate or equivalent
- 1-3 years professional/healthcare preferred
- 1-3 years Accounts Receivable experience preferred
- Excellent verbal and written skills
- Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for adjustments
- Understanding of medical terminology
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of managed care, Medicare, and Medicaid guidelines
- Accurate data entry skills
- Knowledge of CPT, ICD-10, and ASA codes
- Good problem-solving skills
- Decision-making ability 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
- Ability to work as part of a team and independently with limited supervision
- Self-motivated and goal-oriented
- Skilled in MS Word, MS Excel, MS Outlook, and MS Teams
- Must be able to meet the physical requirements of the job, with or without reasonable accommodation
- Must reside in the United States; candidates residing in California, Hawaii, or Alaska are not hired
Benefits:
- Quarterly bonus eligibility (not guaranteed; based on company and individual performance)
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