Accounts Receivable Representative

Brace Health; St. Louis (MO); On-site; USD 42,000 - 54,000; Full time

Job summary

The ideal candidate has proven AR/billing experience in the medical field, familiarity with payer portals, HER/RCM software, and strong data-entry and analytical skills. This position is on-site at our Saint Louis, MO location.

Qualifications

• Proven experience in accounts receivable or related billing roles, preferably within the medical field.
• Familiarity with revenue cycle management and medical collection practices.
• Experience using payer portals, HER systems, RCM software, clearinghouses.

Responsibilities

• Submit claims on time to primary, secondary and tertiary payers.
• Review rejected claims and make necessary changes for resubmission.
• Follow up on denied or unpaid claims with insurance companies.
• Research claim rejections and denials as needed.
• Perform disputes, appeals, and corrected resubmissions on denied claims.
• Apply adjustments and denials to correct line items when received.
• Conduct account analysis to identify discrepancies and resolve issues promptly.
• Collaborate with the coding and payment processing teams as needed.
• Recognize CPT and ICD-10 terminology as needed.
• Maintain organized records related to accounts receivable.
• Ensure accurate claims information, including patient data, diagnoses and procedure codes through collaboration with coding team.
• Perform data entry tasks accurately.

Skills

Accounts receivable

Billing

Data entry

Analytical skills

Phone etiquette

Tools

Payer portals

EMR/HER systems

RCM software

Clearinghouses

Job description

Overview

We are seeking a detail-oriented and motivated A/R Representative to join our team. The ideal candidate will play a crucial role in ensuring accurate billing, timely reimbursement, and denial minimization. This position requires strong analytical skills, attention to detail, and a proactive mindset

Responsibilities

• Submit claims on time to primary, secondary and tertiary payers


• Review rejected claims and make necessary changes for resubmission


• Follow up on denied or unpaid claims with insurance companies


• Research claim rejections and denials as needed


• Perform disputes, appeals, and corrected resubmissions on denied claims


• Apply adjustments and denials to correct line items when received


• Conduct account analysis to identify discrepancies and resolve issues promptly.


• Collaborate with the coding and payment processing teams as needed


• Recognize CPT and ICD-10 terminology as needed


• Maintain organized records related to accounts receivable


• Ensure accurate claims information, including patient data, diagnoses and procedure codes through collaboration with coding team


• Perform data entry tasks accurately

Preferred Qualifications

• Proven experience in accounts receivable or related billing roles, preferably within the medical field


• Familiarity with revenue cycle management and medical collection practices


• Experience using payer portals, HER systems, RCM software, clearinghouses


• Strong analytical skills with the ability to perform account reconciliation


• Excellent math skills combined with attention to detail for accurate data entry and reporting.


• Demonstrated ability to communicate effectively over the phone while maintaining professional phone etiquette


• Ability to interpret and apply remittance advice to accounts