Accounts Receivable Representative II

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

📋 Description

• Responsible for collecting overdue accounts receivable from both government and commercial third-party payers.

• Engages with insurance companies to inquire about the status of pending claims.

• Handles the processing and follow-up of appeals directed to insurance companies.

• Re-files claims as necessary to ensure proper processing.

• Manages daily correspondence efficiently.

• Maintains a fundamental level of proficiency in spreadsheet usage.

• Reviews adjustment requests and completes them when appropriate.

• Addresses manual tasks assigned to Accounts Receivable for further follow-up.

• Works on outstanding accounts receivable from designated work queues.

• Achieves productivity standards established by the department.

• Maintains an accuracy rating of 97% or higher on audited accounts.

• Ensures the highest level of confidentiality is upheld.

• Aims to become a subject matter expert (SME) across multiple workflows and various payers.

• Identifies and reports trends to management.

• Performs any other assigned duties.

⛳️ Requirements

• High school diploma or equivalent is required.

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

• 1-3 years of professional experience in healthcare is preferred.

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

• Exceptional verbal and written communication skills to maintain professionalism in all forms of communication.

• Basic mathematical skills for calculating anesthesia units, proper reimbursement, and percentages for suitable 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.

• High accuracy data entry skills.

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

• Strong problem-solving capabilities.

• Ability to make informed decisions with sound judgment.

• Excellent analytical skills and attention to detail.

• Proficient in gathering and reporting information.

• Capability to work effectively with staff, physicians, and external clients.

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

• Ability to work collaboratively as part of a team.

• Capable of working independently with minimal supervision.

• Must be self-motivated and goal-oriented.

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

• Effective communicator with the public.

🏝️ Benefits

• Eligible for a quarterly bonus.