Accounts Receivable Representative

SpecialtyCare; Brentwood (TN); On-site; USD 26,174 - 34,440; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k) with match

Tuition reimbursement

Paid time off

Job summary

SpecialtyCare is seeking an Accounts Receivable Representative in Brentwood, TN. You will trend and analyze medical claim denials from commercial, Medicare/Medicaid, HMO/PPO, and subrogation payers, and perform follow‑ups to recover underpayments.

Responsibilities include researching and resolving rejections, identifying billing errors for the coding team, and communicating denial trends to leadership. You will document all actions in the practice management system and support a high‑performing

Qualifications

• Associate’s degree or equivalent experience.
• Three years of accounts receivable experience working with payors.
• Proficient with Microsoft Office, especially Excel.
• Ability to read, analyze and interpret insurance policies and guidelines.

Responsibilities

• Trend, analyze and work medical claim denials from various payers.
• Initiate collection follow-up on underpaid and denied claims.
• Research and resolve claim rejections.
• Identify billing errors to be corrected by the coding team.
• Research insurance policies and guidelines.
• Respond to payer correspondence promptly.
• Communicate trends to management and document follow-up in the practice management system.
• Develop strong working relationships within the team.

Skills

Accounts receivable

Excel

Microsoft Office

Policy interpretation

Education

Associate's degree or equivalent experience

Tools

Microsoft Office

Job description

Passionate, driven people dedicated to making a difference in healthcare.

SpecialtyCare continues to grow and we’d like you to grow with us. We are the most experienced provider of outsourced clinical services in the industry, and we are always interested in building our team by hiring and training smart, dedicated people who share our values and our commitment to excellence.

Focused on Excellence

At SpecialtyCare, everyone makes a difference in the delivery of healthcare. Each of us, no matter the role, is important to the success of our company, the success of our customers, and the health of our patients. Exceptional care and positive patient outcomes require team members passionately dedicated to collaborating and driving excellence at every turn—from clinicians in the operating room to administrative people providing support behind the scenes. Highly successful companies need top talent in every position. And, with our outstanding work environment and our focus on people as one of our critical success factors, we are very committed to you, your career, and your success.

Job Summary

As an Accounts Receivable Representative you are responsible for trending, analyzing and working medical claim denials from commercial, multi-state Medicare and Medicaid, HMO/PPO and subrogation payers as assigned.

• Initiate collection follow‑up on under paid and denied claims with assigned payers through reconsideration forms, appeals or phone calls to the payer.
• Research and resolve claim rejections.
• Identify billing errors to be corrected by coding team.
• Research insurance medical policies and guidelines.
• Respond to payer correspondence in a timely manner.
• Communicate payment or denial trends to management in a timely manner.
• Document all follow up efforts and communication within practice management system.
• Develop and maintain positive working relationship with team members.
• Other projects as assigned.

Requirements

• Associate’s degree or equivalent experience.
• Three years of accounts receivable experience working with payors.
• Must be proficient with Microsoft Office, especially Excel.
• Ability to read, analyze and interpret insurance policies and guidelines.

The Successful Candidate

The Successful Candidate Must Bring a High Level Of Ethical, Intellectual, Professional And Personal Values That Complement The Team And Company Vision. The Following Competencies Are Highly Valued.

• Has high attention to detail with the ability to analyze information.
• High energy, self‑motivated individual whose style is effective in working with all levels of the organization to drive performance and continuous improvement using an analytical and metrics based approach.
• Lives the SpecialtyCare Values – Integrity, Care, Urgency, and Improvement.

Growing through Training and Professional Development

SpecialtyCare provides support and reimbursement for continuing education and professional development to all associates across the company. We can also help you build your career through managerial opportunities. If you are willing to work hard, we are willing to help you grow.

Benefits

We offer competitive compensation and a robust benefits package that includes health, dental, vision, and life insurance plans; generous paid time off; 401(k) with matching funds; tuition reimbursement; and professional development and membership allowances.

SpecialtyCare offers a competitive benefits package including medical, vision, dental, life, 401K plus match, and PTO plan. Hourly Wage Estimate: $22.00/hour (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.)

SpecialtyCare is an Equal Opportunity and Affidavit Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

SC Corp