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Accounts Receivable Representative
Impact AdvisorsAccounts Receivable Representative handling unpaid and denied insurance claims in healthcare consulting. Managing financial transactions and ensuring compliance with industry regulations.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing healthcare accounts receivable, including follow-up on unpaid claims, denial resolution, and compliance with regulations. Proficient in analyzing remittance data and executing formal appeals to optimize revenue cycle processes.
Highest-signal resume keywords
Healthcare Accounts Receivable ManagementDenial ResolutionClaims Follow-UpRevenue Cycle AnalysisPayer Policy Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementDenial ResolutionRemittance AnalysisFinancial TransactionsMedical Record Review
Soft Skills
Attention to DetailWillingness to LearnProcess Adherence
Tools & Technologies
Payer PortalsIVR SystemsClearinghouses
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Healthcare Revenue CycleBillingPayer RulesTimely Filing ExceptionsAuthorization
About the role
Key responsibilities & impact- Follow up on unpaid and underpaid insurance claims and review claim status through payer portals, IVR systems and clearinghouses
- Manage work queue and meet productivity expectations
- Independently resolve denials including medical necessity, authorization, coding, payer policy disputes, and timely filing exceptions
- Execute formal appeals, including medical record review, narrative development, and payer escalation
- Analyze remittance to identify underpayments, takebacks, and payer trends
- Manage and maintain detailed records of all receivable transactions, including invoices, statements, and customer correspondence
- Monitor account details for non-payments, delayed payments, and other irregularities
- Comply with federal, state, and company policies, procedures, and regulations
- Perform day-to-day financial transactions, including verifying, classifying, and recording accounts receivable data
Requirements
What you’ll need- High School Diploma or GED required
- Associate’s or Bachelor’s degree in health information management or related field preferred
- Proven work experience in healthcare AR, Billing or revenue cycle
- Basic understanding of healthcare revenue cycle
- Strong attention to detail and willingness to learn payer rules
- Ability to follow structured processes and workflows
- Experience with appeals and denials resolution
Benefits
Comp & perks- Additional benefits and perks may also be available, depending on the position and employment terms.