Accounts Receivable Representative II

Role Overview

• Contacts insurance companies for status on outstanding claims
• Processes and follows up on appeals to insurance companies
• Refiles claims as needed
• Works correspondence daily
• Maintains basic proficiency with using spreadsheets
• Audits adjustment requests and completes when appropriate
• Resolves manual tasks assigned to AR for follow up
• Works outstanding accounts receivable from assigned work queues
• Meets productivity standards as set by the department
• Maintains an accuracy rating of 97% or greater on audited accounts
• Maintains strictest confidentiality
• Works to become an SME across multiple workflows and various payers
• Identifies and communicates trends to leadership
• All other duties assigned.

Requirements

• Highschool graduate or equivalent
• Associate or bachelor’s degree in business administration or related field of study is preferred
• 1-3 years professional/healthcare preferred
• 1-3 years Accounts Receivable experience preferred
• Excellent verbal and written skills to maintain professionalism in all methods of communication
• 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 have a pleasant disposition and high tolerance level
• 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.

Benefits

• Eligible for a quarterly bonus