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Accounts Receivable Specialist – RCM
US Anesthesia PartnersAccounts Receivable Specialist responsible for collecting outstanding accounts from payers. Managing denial issues and engaging in process improvement initiatives in a remote capacity.
About the role
Key responsibilities & impact- Collecting outstanding accounts receivable from third party payers
- Performing advanced level work related to denial management
- Processing and following up on all appeal types at an expert level
- Taking actionable steps to resolve open claims
- Working outstanding accounts receivable from assigned projects
- Functioning as an SME across multiple workflows and various payers
- Providing peer payer and system training support
- Identifying denial patterns and escalating to management
- Making recommendations to work queues and claim edits
- Reviewing payer communications related to changes in policies
- Researching payer trends identified by offshore partners
- Identifying opportunities for process improvement initiatives
- Maintaining strictest confidentiality
- Maintaining basic proficiency with using spreadsheets
- Maintaining productivity and quality standards established by RCM
Requirements
What you’ll need- High school graduate or equivalent
- Associate or bachelor’s degree in business administration or related field of study preferred
- Minimum of 3 years accounts receivable experience preferred
- Excellent verbal and written skills
- Basic math skills for calculating anesthesia units
- General understanding of medical terminology
- Advanced knowledge of insurance processing and payer policies
- Knowledge of commercial payer, Medicare, and Medicaid guidelines
- Data entry skills with high accuracy
- General knowledge and understanding of CPT, ICD-10, and ASA codes
- Good problem-solving skills
- Decision making ability with sound judgment
- Strong analytical skills and attention to detail
- Ability to work effectively with all team members
- Must be able to work in a virtual team environment
- Ability to work independently with limited supervision
- Computer application skills to include MS Word, MS Excel, MS Outlook, and MS Teams
Benefits
Comp & perks- Eligible for a quarterly bonus
- All other duties as assigned
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
accounts receivabledenial managementappeal processingclaim resolutiondata entrymedical terminologyinsurance processingCPT codesICD-10 codesASA codes
Soft Skills
verbal communicationwritten communicationproblem-solvingdecision makinganalytical skillsattention to detailteam collaborationindependenceconfidentialityprocess improvement