Accounts Receivable Representative III (Remote)

NAPA Management Services Corporation; Florida; Remote; USD 40,000 - 60,000; Full time

Benefits offered by this job

Paid Time Off

Health, life, vision, dental insurance

401(k)

Flexible Spending Accounts/Health Savings Accounts

Leadership and professional development opportunities

Job summary

A leading healthcare services provider is seeking an Accounts Receivable Representative III to manage unpaid claims and reimbursement appeals. The role requires 3 to 5 years of experience in health care claims reimbursement, strong communication skills, and the ability to maintain compliance with HIPAA. This position includes a generous benefits package, including paid time off, health insurance, and retirement plans. Join us to contribute to delivering exceptional patient experiences in a collaborative environment.

Qualifications

• 3 to 5 years of health care claims reimbursement and denial resolution experience.
• Knowledge of Major Commercial and Medicare/Medicaid payer guidelines.
• Ability to maintain confidentiality of sensitive information and HIPAA compliance.

Responsibilities

• Coordinate follow-up on unpaid claims and reimbursement appeals.
• Research and process billing errors and corrections.
• Communicate with internal and external resources to resolve issues.

Skills

Claims management

Billing error resolution

Verbal communication

Written communication

Time management

Education

High school diploma or equivalent

Associate degree or equivalent

Tools

MS Word

Excel

Job description

Accounts Receivable Representative III (Remote) page is loaded## Accounts Receivable Representative III (Remote)locations: Sunrise Corporatetime type: Full timeposted on: Posted Yesterdayjob requisition id: JR11232Sunrise,FL - USA**Position Requirements**Job Description**Principal Duties and Responsibilities:*** Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.* Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.* Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues.* Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites. Perform audits on accounts when needed to review for accuracy.* Update accounts with information obtained through correspondence and telephone. When necessary, contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections.* Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes. Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.* Pitches in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures.* Meets the current productivity standard which include both quantity and quality metrics.* Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections.* Performs other job-related duties within the job scope as requested by Management.*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 or equivalent from a two-year college preferred; or equivalent combination of education & experience.**Experience:*** 3 to 5 years of health care claims reimbursement and denial resolution experience* Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines**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.North American Partners in Anesthesia (NAPA) has evolved through more than 30 years to become a leader in anesthesia and perioperative services. Single specialty and clinician led, we remain committed to our mission of delivering exceptional patient experiences, every day. At NAPA, we cultivate leaders, promote work-life balance, and celebrate diversity. We know your success promotes our success, and we give you the tools and programs to achieve your goals. With flexibility, a collegial and collaborative environment, a wide range of market-leading benefits, and career opportunities from coast-to-coast, your future is waiting at NAPA.