Accounts Receivable Representative II

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

📋 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 follow up on insurance appeals as necessary

• Re-submit claims when required

• Handle daily correspondence

• Maintain a fundamental level of proficiency in spreadsheet applications

• Review adjustment requests and execute them when appropriate

• Address manual accounts receivable follow-up tasks

• Manage outstanding accounts receivable from designated work queues

• Achieve department productivity benchmarks

• Keep an accuracy rating of at least 97% on audited accounts

• Uphold strict confidentiality standards

• Become a subject matter expert across various workflows and payers

• Identify and report trends to leadership

• Perform other assigned responsibilities

⛳️ Requirements

• High school diploma or equivalent

• 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

• 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 knowledge of insurance processing, guidelines, laws, and Explanation of Benefits (EOBs)

• Understanding of managed care, Medicare, and Medicaid guidelines

• High-accuracy data entry capabilities

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

• Strong problem-solving, decision-making, analytical, and reporting abilities

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

• Ability to collaborate as part of a team as well as work independently with minimal supervision

• Self-motivated and goal-oriented

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

• Must be able to meet the physical demands of the job with or without reasonable accommodations

• Candidates living in California, Hawaii, or Alaska are not eligible for hire

🏝️ Benefits

• Eligibility for quarterly bonuses (not guaranteed; based on both company and individual performance)

• Reasonable accommodations provided for individuals with disabilities