Accounts Receivable Representative

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

📋 Description

• Responsible for gathering outstanding accounts receivable from patients and third-party payers.

• Contact insurance companies via phone to inquire about the status of pending claims.

• Manage and follow up on appeals directed at insurance companies.

• Reach out to patients regarding payment or arrangements for outstanding balances.

• Print and refile claims as necessary.

• Handle daily correspondence efficiently.

• Respond to incoming calls from patients, insurance companies, and physician offices.

• Conduct research and audits on patient accounts to identify further payment opportunities or necessary adjustments.

• Work on Analyzer reports as assigned.

• Maintain a fundamental proficiency in spreadsheet usage.

• Proficiently manage outstanding Accounts Receivable from the Collector Queue within 30-60 days of employment.

• Achieve an accuracy rating of 90% or higher on audited accounts.

• Meet the productivity standards established by the department.

• Uphold the highest level of confidentiality.

• Comply with all company policies and procedures.

• Understand that adherence to information systems security is a collective responsibility.

• Participate in Information Systems security training when available.

• Report any issues related to information systems security.

⛳️ Requirements

• Must be a high school graduate or possess an equivalent qualification.

• Minimum of two years of collection experience in a healthcare environment (hospital or physician office) is required.

• Proficient in both verbal and written communication skills.

• Basic math skills necessary for calculating anesthesia units and ensuring proper reimbursement.

• Familiarity with medical terminology.

• Basic understanding of insurance processing, guidelines, and laws.

• Knowledge of managed care, as well as Medicare and Medicaid guidelines.

• Competent data entry skills.

• Familiarity with CPT, ICD-10, and ASA codes.

• Strong decision-making capabilities.

• Excellent analytical skills.

• Ability to research and report on payer trends effectively.

• Proven ability to collaborate effectively with staff, physicians, and external customers.

• Must exhibit a pleasant demeanor and possess a high tolerance level.

• Ability to function effectively as part of a team.

• Capacity to work independently with minimal supervision.

• Proficient in computer applications, including MS Word, MS Excel, and OneNote.

🏝️ Benefits

• Competitive Pay and Benefits Package.

• Annual Bonus.

• Generous Paid Time Off.

• 401K Contribution/Safe Harbor.

• Flexible Work Environment.

• Career Advancement Opportunities with a Growing Company.

• On-site Fitness Center and Café.

• Underground Parking with Badge Access.