Accounts Receivable Representative II

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

📋 Description

• Gather outstanding accounts receivable from both government and commercial third-party payers.

• Reach out to insurance companies to inquire about the status of outstanding claims.

• Process and follow up on insurance appeals as necessary.

• Resubmit claims when required.

• Handle daily correspondence.

• Maintain a fundamental proficiency in spreadsheets.

• Review and complete adjustment requests when appropriate.

• Resolve manual accounts receivable follow-up tasks.

• Manage outstanding accounts receivable from designated work queues.

• Achieve departmental productivity standards.

• Sustain an accuracy rate of at least 97% on audited accounts.

• Uphold strict confidentiality.

• Cultivate subject-matter expertise across various workflows and payers.

• Identify and relay trends to leadership.

• Carry out other assigned responsibilities.

⛳️ Requirements

• High school diploma or equivalent qualification.

• Associate or bachelor’s degree in business administration or a related field is preferred.

• 1–3 years of professional/healthcare experience is preferred.

• 1–3 years of Accounts Receivable experience is preferred.

• Exceptional verbal and written communication skills.

• Basic mathematical skills for calculating anesthesia units, ensuring proper reimbursement, and determining percentages for adjustments.

• Familiarity with medical terminology.

• Advanced understanding of insurance processing, guidelines, laws, and explanation of benefits (EOBs).

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

• Accurate data entry capabilities.

• Knowledge of CPT, ICD-10, and ASA coding.

• Strong problem-solving, decision-making, analytical, and attention-to-detail skills.

• Ability to gather and present information effectively.

• Capable of working collaboratively with staff, physicians, and external clients.

• Ability to function as part of a team as well as independently with minimal supervision.

• Self-driven and goal-oriented.

• Proficient in MS Word, MS Excel, MS Outlook, and MS Teams.

• Capable of meeting the physical demands of the job, with or without reasonable accommodation, which includes occasional standing and walking, frequent sitting and hand/finger movements, and effective verbal and written communication.

• Competent in using office equipment in either an office or remote environment.

🏝️ Benefits

• Eligibility for a quarterly bonus (not guaranteed; dependent on company and individual performance).