Note: The job is a remote job and is open to candidates in USA. US Anesthesia Partners is a leading provider in revenue cycle management, and they are seeking an Accounts Receivable Representative III to manage collections from third-party payers. The role involves contacting insurance companies, processing claims, and maintaining productivity standards while ensuring accuracy and confidentiality.
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
- Provides peer payer and system training support
- Gathers data and reports out in partnership with 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
- Data entry skills with high accuracy
- 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
- 1-3 years professional/healthcare experience
- 3+ years Accounts Receivable experience
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of managed care, Medicare, and Medicaid guidelines
- Knowledge of CPT, ICD-10 and ASA codes
Benefits
- This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance
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