Accounts Receivable Representative II

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

📋 Description

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

• Process and pursue appeals with insurance providers.

• Resubmit claims as necessary.

• Handle daily correspondence.

• Maintain a fundamental level of proficiency in spreadsheet applications.

• Review adjustment requests and carry them out when suitable.

• Address manual accounts-receivable follow-up tasks.

• Manage outstanding accounts receivable from designated work queues.

• Achieve departmental productivity benchmarks.

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

• Uphold strict confidentiality standards.

• Cultivate specialized knowledge across various workflows and payers.

• Recognize and report trends to leadership.

• Execute other assigned responsibilities.

⛳️ 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 or healthcare experience is preferred.

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

• Exceptional verbal and written communication skills are essential.

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

• Familiarity with medical terminology is required.

• Advanced understanding of insurance processing, regulations, laws, and EOBs is necessary.

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

• High-accuracy data entry skills are essential.

• Familiarity with CPT, ICD-10, and ASA codes is needed.

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

• Ability to gather and report information effectively.

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

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

• Self-motivated and goal-oriented individuals are preferred.

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

• Must be able to meet physical requirements, including occasional standing/walking, frequent sitting and hand/finger movements, along with verbal and written communication.

🏝️ Benefits

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