Accounts Receivable Representative II - HYBRID

The Accounts Receivable Representative II is responsible for collecting outstanding accounts receivable from third party payers; both government and commercial. All new hires must submit to and pass a pre-employment drug screen and background check.

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

• Contact insurance companies for status on outstanding claims
• Process and follow up on more complex appeals to insurance companies
• Refile claims as needed
• Work correspondence daily
• Maintain basic proficiency with using spreadsheets
• Audit adjustment requests and complete when appropriate
• Resolve Manual Tasks assigned to AR for follow up
• Work outstanding Accounts Receivable from assigned work queues
• Meet productivity standards as set by the department
• Maintain accuracy rating of 97% or greater on audited accounts
• Meet productivity standards as set by the department
• Maintains strictest confidentiality
• Phone patients for payment or payment arrangements on outstanding balances
• Work to become a SME across multiple workflows and various payers
• All other duties assigned

REPORTING TO THIS POSITION: No direct reports

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

• 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
• 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
• Skill in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
• Communicate well with the public

EDUCATION/TRAINING/EXPERIENCE:

• High-school graduate or equivalent
• Associate or bachelor’s degree in business administration or related field of study is preferred
• 1-3 years Accounts Receivable experience preferred

PHYSICAL REQUIREMENTS:

• Requires prolonged sitting, some bending, stooping and stretching
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations
• Requires lifting papers and boxes weighing up to 35 pounds occasionally
• Requires dexterity to type at least 50 wpm

WORKING CONDITIONS (environment and safety):

• Involves frequent contact with professional staff and managed care organizations
• Work may be stressful at times
• Interaction with others is frequent and often disruptive

DISCLAIMER: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.