Accounts Receivable Representative II - REMOTE

Lensa; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading company is seeking an Accounts Receivable Representative II to manage outstanding accounts receivable from third-party payers. This remote position requires strong communication and analytical skills, along with a solid understanding of medical terminology and insurance processing. The ideal candidate will have a high school diploma and relevant experience in healthcare and accounts receivable.

Qualifications

• 1-3 years of professional/healthcare experience preferred.
• 1-3 years of Accounts Receivable experience preferred.
• Understanding of medical terminology and insurance processing.

Responsibilities

• Contact insurance companies for status on outstanding claims.
• Process and follow up on appeals to insurance companies.
• Maintain an accuracy rating of 97% or greater on audited accounts.

Skills

Communication

Problem Solving

Analytical Skills

Attention to Detail

Data Entry

Education

High school graduate or equivalent

Associate or bachelor’s degree in business administration or related field

Tools

MS Word

MS Excel

MS Outlook

MS Teams

Job description

Accounts Receivable Representative II - REMOTE

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Lensa is the leading career site for job seekers at every stage of their career. Our client, US Anesthesia Partners, is seeking professionals. Apply via Lensa today!

Overview

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

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

1. Contact insurance companies for status on outstanding claims.
2. Process and follow up on appeals to insurance companies.
3. Refill claims as needed.
4. Work correspondence daily.
5. Maintain basic proficiency with using spreadsheets.
6. Audit adjustment requests and complete them when appropriate.
7. Resolve manual tasks assigned to AR for follow-up.
8. Work outstanding Accounts Receivable from assigned work queues.
9. Meet productivity standards as set by the department.
10. Maintain an accuracy rating of 97% or greater on audited accounts.
11. Maintain strict confidentiality.
12. Phone patients for payment or payment arrangements on outstanding balances.
13. Work to become a SME across multiple workflows and various payers.
14. Perform all other duties as assigned.

Qualifications

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

• High school graduate or equivalent.
• Associate or bachelor’s degree in business administration or related field preferred.
• 1-3 years of professional/healthcare experience preferred.
• 1-3 years of Accounts Receivable experience preferred.
• Excellent verbal and written communication skills.
• Basic math skills for calculating anesthesia units, reimbursements, and adjustments.
• Understanding of medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• High accuracy in data entry skills.
• Knowledge of CPT, ICD-10, and ASA codes.
• Good problem-solving skills.
• Sound judgment in decision-making.
• Strong analytical skills and attention to detail.
• Ability to work effectively with staff, physicians, and external customers.
• Must have a pleasant disposition and high tolerance level.
• Ability to work as part of a team and independently with limited supervision.
• Self-motivated and goal-oriented.
• Proficiency in MS Word, MS Excel, MS Outlook, and MS Teams.
• Good communication skills.
• The physical demands include occasional standing, walking, frequent sitting, and manual dexterity; accommodations may be made for individuals with disabilities.