Accounts Receivable Representative II - REMOTE

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

Job summary

An established industry player is seeking an Accounts Receivable Representative II to manage outstanding accounts and ensure timely collections from third-party payers. This role requires strong communication skills and a keen understanding of insurance processing and medical terminology. The ideal candidate will thrive in a fast-paced environment, demonstrating exceptional attention to detail and accuracy in data entry. Join a dynamic team where your contributions will directly impact the financial health of the organization, while also providing opportunities for professional growth and development.

Qualifications

• 1-3 years of professional or healthcare experience preferred.
• High accuracy in data entry and understanding of medical terminology.
• Ability to work independently with limited supervision.

Responsibilities

• Contact insurance companies for status updates on outstanding claims.
• Process and follow up on appeals to insurance companies.
• Maintain confidentiality and meet productivity standards.

Skills

Verbal and written communication skills

Basic math skills

Knowledge of medical terminology

Advanced knowledge of insurance processing

Problem-solving and decision-making skills

Strong analytical skills

Attention to detail

Ability to work in a team

Self-motivated and goal-oriented

Education

High school diploma or equivalent

Associate or bachelor’s degree in business administration

Tools

MS Word

MS Excel

MS Outlook

MS Teams

Job description

Job Title: Accounts Receivable Representative II

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

Note: US Anesthesia Partners does not currently 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 updates on outstanding claims.
2. Process and follow up on appeals to insurance companies.
3. Refill claims as needed.
4. Work on correspondence daily.
5. Maintain basic proficiency with spreadsheets.
6. Audit adjustment requests and complete them when appropriate.
7. Resolve manual tasks assigned to AR for follow-up.
8. Manage outstanding Accounts Receivable from assigned work queues.
9. Meet productivity standards set by the department.
10. Maintain an accuracy rating of 97% or higher on audited accounts.
11. Maintain confidentiality at all times.
12. Contact patients for payment or payment arrangements on outstanding balances.
13. Aim to become a Subject Matter Expert (SME) across multiple workflows and payers.
14. Perform other duties as assigned.

Qualifications

Knowledge, Skills, and Abilities (KSAs):

• High school diploma or equivalent; associate or bachelor’s degree in business administration or related field preferred.
• 1-3 years of professional or healthcare experience preferred.
• 1-3 years of Accounts Receivable experience preferred.
• Excellent verbal and written communication skills.
• Basic math skills for calculations related to reimbursement and adjustments.
• Understanding of medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and Explanation of Benefits (EOBs).
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• High accuracy in data entry.
• Knowledge of CPT, ICD-10, and ASA codes.
• Good problem-solving and decision-making skills.
• Strong analytical skills and attention to detail.
• Ability to work effectively with staff, physicians, and external customers.
• Positive attitude 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, Excel, Outlook, and Teams.

Physical Demands

Occasional standing and walking; frequent sitting; frequent hand and finger movements; use of office equipment (remote or in-office); verbal and written communication.

Reasonable accommodations may be made for individuals with disabilities to perform essential functions.

Equal Opportunity Employment

US Anesthesia Partners, Inc. provides equal employment opportunities regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, parental status, national origin, age, disability, family medical history, genetic information, political affiliation, military service, or other non-merit factors.