Accounts Receivable Representative

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee patient, client, and insurance billing processes for the medical facility.

• Maintain a comprehensive understanding of third-party payer billing regulations and guidelines.

• Confirm financial and demographic data accuracy.

• Properly apply allowances, discounts, and co-payments.

• Process insurance payments using the computerized system.

• Secure prior authorizations and conduct patient benefit investigations.

• Reach out to accounts, physicians, or patients to gather any missing billing information.

• Re-submit bills to insurance companies or other third parties to ensure payment.

• Assist in training staff on the computerized billing system.

• Follow department Standard Operating Procedures diligently.

• Address patient/client billing and statement inquiries via phone or mail.

• Obtain and send invoice copies upon request.

• Research and handle customer claims regarding invoice payments.

• Respond to accounts receivable phone inquiries and follow up with patients/clients.

• Identify overpayments from insurance or patients and submit refund requests.

• Investigate insurance denials to enhance reimbursement opportunities.

• Take on additional responsibilities during staff shortages.

⛳️ Requirements

• High school diploma or GED; or one to three months of relevant experience and/or training; or a combination of education and experience that is equivalent.

• Ability to read and understand simple instructions, short correspondence, and memos.

• Capability to compose simple correspondence.

• Skill in effectively presenting information in one-on-one and small group settings.

• Proficiency in performing basic arithmetic with whole numbers, common fractions, and decimals.

• Ability to calculate rates, ratios, and percentages, as well as interpret bar graphs.

• Capacity to apply common-sense reasoning to written, oral, or diagram instructions.

• Ability to manage problems involving several concrete variables in standardized scenarios.

• Basic computer skills, including familiarity with Windows, medical record software, and MS Office.

• Proficient data entry skills at a rate of 40–50 words per minute.

• Basic understanding of standard office equipment.

• No certifications necessary.

🏝️ Benefits

• Policy of equal opportunity employment.

• Reasonable accommodations provided for individuals with disabilities.

• Benefits and educational programs/social activities offered as part of covered personnel programs.