Accounts Receivable Representative II (Remote)

North American Partners in Anesthesia; United States; Remote; USD 40,000 - 60,000; Full time

Benefits offered by this job

Paid Time Off

Health Insurance

Life Insurance

Vision Insurance

Dental Insurance

Disability Insurance

AD&D Insurance

401(k)

FSA/HSA

Leadership Development

Job summary

North American Partners in Anesthesia in Sunrise, FL is seeking an Accounts Receivable Representative II to manage assigned payers under supervision. You will contact payers, process claims, update accounts, audit and appeal as needed, and collaborate with clinical and billing teams to resolve discrepancies.

High school diploma or equivalent required with 2–4 years of healthcare billing experience. Strong Excel/Word skills and HIPAA knowledge are essential; excellent communication and time

Qualifications

• High school diploma or equivalent certification required
• Associate degree preferred
• 2–4 years of customer service and/or business office experience preferred in a medical setting
• Knowledge of basic patient accounting processes and healthcare terminology strongly preferred

Responsibilities

• Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or require special handling
• Document billing activity on the patient account; ensures compliance with billing regulations and reports any suspected compliance issues
• Reviews claims for accuracy and coordinates with ancillary departments for audits/record reviews
• Corrects errors based on payer reports to optimize electronic claims submission
• Pursues prompt follow-up on aged accounts and may help formulate written appeals
• Documents all follow-up actions to maintain an accurate account history
• Monitors claim rejections for trends and reports findings to leads
• Provides professional customer service to patients and third parties on billing questions
• Assists in reviewing/resolving credit balances
• Participates in training and special assignments

Skills

Strong communication

Attention to detail

Customer service

Time management

HIPAA compliance

Education

High school diploma or equivalent

Associate degree preferred

Tools

MS Word

Excel

Job description

Sunrise,FL - USA

Position Requirements

Under the direct supervision of the Collections Supervisor or Manger, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.

Principal Duties and Responsibilities

• Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling
• Document’s billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
• Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews
• Based on electronic payers’ error reports, makes appropriate corrections to optimize the electronic claims submission process
• Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
• Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
• Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner
• Assists in reviewing and/or resolving credit balances
• Participates in general or special assignments and attends required training

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.

Position Qualifications

Education :

• High school diploma or equivalent certification required
• Associate degree preferred

Experience :

• 2 to 4 years of customer service and/or business office experience preferred in a medical setting
• Knowledge of basic patient accounting processes and healthcare terminology strongly preferred

Knowledge, Skills, Abilities:

• Strong computer skills (including MS Word and Excel)
• Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
• Excellent verbal and written communication skills, including professional telephone etiquette
• Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
• Dependable in both production and attendance
• Exceptional organization and time management skills

Total Rewards

• Generous benefits package, including:
• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.