[Remote] Accounts Receivable Representative II - RCM - Remote

Note: The job is a remote job and is open to candidates in USA. US Anesthesia Partners is hiring an Accounts Receivable Representative II – RCM to collect outstanding accounts receivable from government and commercial third-party payers. The role handles claim follow-up, appeals, refiling, correspondence, adjustment audits, and related work queue tasks; it is primarily remote, with on-site work in the Orlando area as needed.

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
• All other duties assigned

Skills

• Highschool graduate or equivalent
• 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
• Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
• Communicated well with the public
• Associate or bachelor's degree in business administration or related field of study is preferred
• 1-3 years professional/healthcare preferred
• 1-3 years Accounts Receivable experience preferred

Benefits

• This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
• Primarily remote; candidates must reside in the Orlando, FL area and be available to work on-site as business needs require.

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