Accounts Receivable Representative – RCM Medical Billing

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

📋 Description

• Primarily engage with insurance companies over the phone to reverse denied claims.

• Draft appeals to insurance providers to contest denied or underpaid claims.

• Collaborate with national payers across various states and systems.

• Work closely with team members.

• Navigate multiple practice management systems and workflow technologies.

• Address client inquiries regarding unpaid insurance claims.

• Check payer portals to track insurance claim statuses.

• Participate in team and client meetings.

• Collaborate with leadership to enhance client collections and secure payment for additional claims.

• Prioritize work queues to maximize efficiency.

• Contact insurance carriers for prompt processing of patient claims.

• Communicate with payers to clarify denied or incorrectly paid claims.

• Document insurance carrier contracts and anticipated payment dates.

• Provide information to facilitate claim processing.

• Review system notes and claims for thoroughness and accuracy.

• Compose and submit appeals.

• Achieve facility goals and key performance indicators (KPIs).

• Attach necessary documentation, including operative notes and invoices.

• Maintain daily activity logs.

• Utilize system reports for managing accounts receivable.

• Prioritize accounts based on high dollar value and days in accounts receivable.

• Document write-offs and process refund requests.

• Maintain batch logs organized by date.

• File activity into monthly charts categorized by facility.

⛳️ Requirements

• A minimum of 1 year of experience in medical billing or accounts receivable.

• Experience with Epic, NextGen, HST, Athena, Cerner, Availity, or other substantial EMR software is strongly preferred.

• High school diploma or equivalent qualification.

• Outstanding customer service orientation with emphasis on delivering high-quality results.

• A true team player.

• Ability to work with a sense of urgency.

• Task-focused.

• Well-organized and detail-oriented.

• Capability to communicate professionally and comfortably over the phone for most of the day.

• Ability to thrive in a competitive environment.

• A great attitude.

• Commitment to the role.

• Team-oriented collaboration.

• Innovative thinking.

• A sense of humor and enjoyment in the workplace.

🏝️ Benefits

• Fully remote work setting.

• Full-time employment opportunity.

• Day shift availability.

• Monday to Friday work schedule.

• 8-hour shift duration.

• Valuable experience with visibility to executive leadership.

• Positive culture that fosters team morale.

• Exposure to national payers across multiple states and systems.