Accounts Receivable Representative

OrthoCarolina; Santa Fe (NM); Hybrid; USD 42,000 - 56,000; Full time

Job summary

OrthoCarolina in Charlotte is seeking an Accounts Receivable Representative (Medical Billing) on a regular full-time basis. This hybrid role rotates in-office days based on departmental needs, supporting the Revenue Cycle team.

You will maintain AR queues, review and appeal denied claims, follow up on appeals, process corrected claims, and provide feedback to management. The ideal candidate brings healthcare AR experience, ICD-10 knowledge, and strong attention to detail.

Qualifications

• High school diploma or GED.
• One-year certificate from college or technical school preferred.
• Certified Professional Coder (CPC) preferred.
• Three years accounts receivable experience preferred; one year in a healthcare setting preferred.

Responsibilities

• Maintain AR queues at a reasonable age-base date as defined by management.
• Review and appeal denied medical claims for bundling and coding issues.
• Follow up on all appeal submissions in a timely manner.
• Process corrected claims and assist with medical documentation turnaround.
• Provide follow-up and feedback to management regarding assignments.

Skills

Attention to detail

Organizational skills

Effective communication

Education

High school diploma or GED

Certificate from college or technical school

Certified Professional Coder (CPC)

Job description

At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of professionals dedicated to providing exceptional orthopedic care across 43 locations. We offer a competitive benefits package that includes paid holidays, wellness programs, and tuition reimbursement.

Position Overview

Accounts Receivable Representative (Medical Billing) – Revenue Cycle team, Charlotte Office. This hybrid role involves rotating in‑office days based on departmental needs.

Responsibilities

• Maintain AR queues at a reasonable age‑base date as defined by management.
• Review and appeal denied medical claims for bundling and coding issues.
• Follow up on all appeal submissions in a timely manner.
• Process corrected claims and assist with medical documentation turnaround.
• Provide follow‑up and feedback to management regarding assignments.

Qualifications

• High school graduate or GED.
• One‑year certificate from college or technical school preferred.
• Certified Professional Coder (CPC) preferred.
• Three years accounts receivable experience preferred; one year in a healthcare setting preferred.
• Working knowledge of ICD‑10 required.

Skills & Experience

• Administrative experience in a financial/healthcare environment.
• Strong attention to detail and organizational skills.
• Excellent communication with management and payers.

Employment Type

Regular full‑time position.