Accounts Receivable Representative III
Posted 3ds ago
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Job Description
Accounts receivable representative collecting outstanding government and commercial payer claims. Supporting revenue cycle management for a U.S. anesthesia practice through appeals, refiling, and account follow-up.
Responsibilities:
- Collect outstanding accounts receivable from third party payers, both government and commercial
- 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 tasks assigned to AR for follow up
- 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
- Become an SME across multiple workflows and various payers
- Identify and communicate trends to leadership
- Perform all other assigned duties
Requirements:
- Highschool 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 appropriate adjustments
- Understanding of Medical terminology
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of managed care, Medicare, and Medicaid guidelines
- Data entry skills with high accuracy
- Knowledge of CPT, ICD-10, and ASA codes
- Good problem-solving skills
- Decision making ability with sound judgement
- Strong analytical skills and attention to detail
- Skill in gathering and reporting information
- Ability to work effectively with staff, physicians, and external customers
- Must be able to work as part of a team
- Ability to work independently with limited supervision
- Must be a self-motivator and goal oriented
- Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
- Communicated well with the public
- Must meet the physical requirements of the job, with or without reasonable accommodation
Benefits:
- Quarterly bonus eligibility
- Reasonable accommodations for individuals with disabilities
- Equal employment opportunities














