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Role Description

The Accounts Receivable Representative II – RCM is responsible for collecting outstanding accounts receivable from third party payers, both government and commercial.

• 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.

Qualifications

• High school graduate or equivalent.
• 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.
• 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.
• Communicates well with the public.

Requirements

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

Benefits

• The base pay estimate for this role is $16.49 - $26.39 hourly.
• This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.