Accounts Receivable Representative II - RCM - Remote

US Anesthesia Partners; Orlando (FL); Híbrido; USD 23.000 - 36.000; Jornada completa

Descripción de la vacante

US Anesthesia Partners, Inc. in Orlando, FL is seeking an Accounts Receivable Representative II - RCM to actively collect outstanding claims from third party payers, government and commercial. This role is primarily remote, but candidates must reside in the Orlando, FL area and be available to work on-site as business needs require.

A quarterly bonus is available based on performance. The ideal candidate will have 1–3 years of healthcare AR experience, strong attention to detail, data entry

Formación

• Highschool graduate or equivalent.
• Associate or bachelor's degree in business administration or related field preferred.
• 1-3 years professional/healthcare preferred.
• 1-3 years Accounts Receivable experience preferred.
• Excellent verbal and written skills to maintain professionalism in all communications.
• Basic math for anesthesia units, reimbursement, and adjustments.
• Understanding of Medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• Data entry skills with high accuracy.
• Knowledge of CPT, ICD-10, and ASA codes.
• Good problem-solving skills and sound judgement.
• Strong analytical skills and attention to detail.
• Ability to work with staff, physicians, and external customers.
• Pleasant disposition, team player, self-motivated and goal oriented.
• Proficient in MS Word, MS Excel, MS Outlook, and MS Teams.

Responsabilidades

• Contacts insurance companies for status on outstanding claims.
• Processes and follows up on appeals to insurance companies.
• Refiles claims as needed.
• Works correspondence daily.
• Maintains basic proficiency with using spreadsheets.
• Audits adjustment requests and completes when appropriate.
• Resolves manual tasks assigned to AR for follow up.
• Works outstanding accounts receivable from assigned work queues.
• Meets productivity standards as set by the department.
• Maintains an accuracy rating of 97% or greater on audited accounts.
• Maintains strictest confidentiality.
• Works to become an SME across multiple workflows and various payers.
• Identifies and communicates trends to leadership.
• All other duties assigned.

Conocimientos

Accounts Receivable

Data entry

MS Excel

MS Word

MS Outlook

CPT/ICD-10/ASA codes

Medicare/Medicaid knowledge

Communication skills

Analytical skills

Teamwork

Educación

High school diploma

Associate or bachelor's degree preferred

Herramientas

MS Word

MS Excel

MS Outlook

MS Teams

Descripción del empleo

Overview

The Accounts Receivable Representative II - RCM is responsible for collecting outstanding accounts receivable from third party payers, both government and commercial.

This position is primarily remote; however, candidates must reside in the Orlando, FL area and be available to work on-site as business needs require.

The base pay estimate for this role is $16.49 - $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Contacts insurance companies for status on outstanding claims.
• Processes and follows up on appeals to insurance companies.
• Refiles claims as needed.
• Works correspondence daily.
• Maintains basic proficiency with using spreadsheets.
• Audits adjustment requests and completes when appropriate.
• Resolves manual tasks assigned to AR for follow up.
• Works outstanding accounts receivable from assigned work queues.
• Meets productivity standards as set by the department.
• Maintains an accuracy rating of 97% or greater on audited accounts.
• Maintains strictest confidentiality.
• Works to become an SME across multiple workflows and various payers.
• Identifies and communicates trends to leadership.
• All other duties assigned.

KNOWLEDGE/SKILLS/ABILITIES (KSAs)

• Highschool graduate or equivalent.
• Associate or bachelor's degree in business administration or related field of study is preferred.
• 1-3 years professional/healthcare preferred.
• 1-3 years Accounts Receivable experience preferred.
• Excellent verbal and written skills to maintain professionalism in all methods of communication.
• Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments.
• Understanding of Medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• Data entry skills with high accuracy.
• Knowledge of CPT, ICD-10, and ASA codes.
• Good problem-solving skills.
• Decision making ability with sound judgement.
• Strong analytical skills and attention to detail.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians, and external customers.
• Must have a pleasant disposition and high tolerance level.
• Must be able to work as part of a team.
• Ability to work independently with limited supervision.
• Must be a self-motivator and goal oriented.
• Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
• Communicated well with the public.

Physical Demands

The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.