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 pending claims.

• Process and pursue insurance appeals as necessary.

• Refile claims when required.

• Handle daily correspondence.

• Audit and finalize adjustment requests when applicable.

• Address manual accounts receivable follow-up tasks.

• Manage outstanding accounts receivable from designated work queues.

• Achieve department productivity goals.

• Maintain an accuracy rating of at least 97% for audited accounts.

• Develop expertise in various workflows and payers.

• Identify and relay trends to leadership.

• Carry out other designated responsibilities.

⛳️ Requirements

• High school diploma or equivalent certification.

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

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

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

• Excellent verbal and written communication abilities.

• Basic math skills for calculating anesthesia units, reimbursements, and percentages.

• Familiarity with medical terminology.

• Advanced understanding of insurance processing, regulations, laws, and Explanation of Benefits (EOBs).

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

• Proficient data entry skills.

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

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

• Capability to gather and report relevant information.

• Ability to collaborate effectively with staff, physicians, and external clients.

• Ability to work independently and as part of a team with minimal supervision.

• Self-driven and goal-oriented.

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

• Capability to perform occasional standing and walking, frequent sitting and hand/finger movements, and operate office equipment.

• Must uphold confidentiality at all times.

🏝️ Benefits

• Eligibility for quarterly bonuses.

• Equal employment opportunities.