Accounts Receivable Representative II (Remote)

Accounts Receivable Representative II

Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.

Principal Duties and Responsibilities

• Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling
• Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
• Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and / or record reviews
• Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
• Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
• Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
• Practices excellent customer service skills by answering patient and third-party questions and / or addressing billing concerns in a timely and professional manner
• Assists in reviewing and / or resolving credit balances
• Participates in general or special assignments and attends required training

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.

Position Qualifications

Education :

Experience :

Knowledge, Skills, Abilities :

Total Rewards

This is a virtual position, but we prefer candidates to be based in one of the following locations : Melville, NY; Raleigh, NC; Syracuse, NY; Fairfax, VA; or Sunrise, FL.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.