Accounts Receivable Representative III

This is a fully remote position, open to applicants in Alaska, +2 more states.

📋 Description

• Communicate with insurance companies to inquire about the status of outstanding claims

• Process and pursue insurance appeals as necessary

• Resubmit claims when required

• Handle daily correspondence

• Maintain a basic level of proficiency with spreadsheets

• Review and complete adjustment requests when appropriate

• Address manual tasks assigned to Accounts Receivable for follow-up

• Manage outstanding accounts receivable from designated work queues

• Achieve department productivity benchmarks

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

• Uphold strict confidentiality

• Cultivate subject-matter expertise across various workflows and payers

• Identify trends and communicate them to leadership

• Provide training support for peers regarding payers and systems

• Collect data and report findings in collaboration with leadership

• Perform other assigned tasks

⛳️ Requirements

• High school diploma or equivalent

• 1–3 years of professional or healthcare experience preferred

• 3+ years of experience in Accounts Receivable preferred

• Exceptional verbal and written communication abilities

• Basic mathematical skills for calculating anesthesia units, proper reimbursements, and percentage adjustments

• Familiarity with medical terminology

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

• Knowledge of managed care, Medicare, and Medicaid guidelines

• Accurate data entry capabilities

• Familiarity with CPT, ICD-10, and ASA codes

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

• Ability to gather and report information effectively

• Capacity to collaborate with staff, physicians, and external customers

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

• Self-motivated and goal-oriented

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

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

🏝️ Benefits

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

• Reasonable accommodations may be provided for individuals with disabilities