North American Partners in Anesthesia

Accounts Receivable Representative III

North American Partners in Anesthesia

full-time

Posted on:

Location Type: Remote

Location: Remote • Florida • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • 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
  • 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
  • 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

Requirements

  • High school diploma or equivalent certification required
  • Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & 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
  • 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
Benefits
  • 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

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
billing errorsclaims reimbursementdenial resolutionCPT codesICD-10 codesaccount maintenanceauditsinsurance informationpayer codesproductivity metrics
Soft skills
communicationcollaborationproblem identificationproblem resolutionorganizationtime managementdependabilityaccuracyprofessional telephone etiquetteconfidentiality
Certifications
high school diplomaassociate degree