Accounts Receivable Specialist III - Payer Expert

U.S. Anesthesia Partners; Austin (TX); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Quarterly bonus

Job summary

U.S. Anesthesia Partners in Austin, TX seeks an Accounts Receivable Representative III to collect outstanding receivables from government and commercial payers. You will contact insurers, process appeals, refile claims, and manage daily correspondence while maintaining high accuracy.

The base pay ranges from $18.17 to $29.04 per hour, with eligibility for a quarterly bonus based on performance. Final offer depends on skills and experience; benefits beyond base pay vary by performance.

Qualifications

• High school graduate or equivalent.
• Associate or bachelor’s degree preferred.
• 1-3 years professional/healthcare preferred.
• 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.
• MS Word, MS Excel, MS Outlook, and MS Teams proficiency.
• Communicated well with the public.

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.
• Provides peer payer and system training support.
• Gathers data and reports out in partnership with leadership.
• All other duties assigned.

Skills

Analytical skills

Attention to detail

Verbal communication

Written communication

Medical terminology

CPT ICD-10 codes

Accounts Receivable

Data entry accuracy

Teamwork

Self-motivated

Education

High school diploma or equivalent

Associate or Bachelor's degree preferred

Tools

MS Excel

MS Word

MS Outlook

MS Teams

Job description

U.S. Anesthesia Partners in Austin, TX seeks an Accounts Receivable Representative III to collect outstanding receivables from government and commercial payers. You will contact insurers, process appeals, refile claims, and manage daily correspondence while maintaining high accuracy.

The base pay ranges from $18.17 to $29.04 per hour, with eligibility for a quarterly bonus based on performance. Final offer depends on skills and experience; benefits beyond base pay vary by performance.