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

📋 Description

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

• Communicate with insurance companies concerning the status of pending claims.

• Manage and pursue appeals as necessary.

• Resubmit claims when required.

• Handle daily correspondence.

• Review and finalize adjustment requests as appropriate.

• Address manual AR follow-up tasks.

• Manage designated outstanding accounts receivable queues.

• Achieve departmental productivity benchmarks.

• Maintain a minimum accuracy rating of 97% on audited accounts.

• Uphold strict confidentiality standards.

• Become a subject matter expert across various workflows and payers.

• Recognize and report trends to leadership.

• Execute other assigned responsibilities.

⛳️ Requirements

• High school diploma or equivalent qualification.

• An associate's 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.

• Exceptional verbal and written communication skills.

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

• Understanding of medical terminology.

• Advanced knowledge of insurance processing, regulations, laws, and explanation of benefits (EOBs).

• Familiarity with managed care, Medicare, and Medicaid guidelines.

• Proficient data entry skills.

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

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

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

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

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

• Must reside in the United States, excluding California, Hawaii, and Alaska.

• Ability to fulfill the stated physical requirements, with or without reasonable accommodation.

🏝️ Benefits

• Eligibility for quarterly bonuses.

• Equal employment opportunity protections.