Accounts Receivable Representative
J
JobgetherHealthcare Accounting
Based in United StatesFull-TimeMiddle
Salary$18.17 - $29.04
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Job Details
- Experience
- 3+ years of accounts receivable experience preferred; 1–3 years of professional experience in a healthcare environment preferred.
- Required Skills
- Data AnalysisMicrosoft Excel
Requirements
- High school diploma or equivalent required; associate or bachelor’s degree in business administration or a related field is preferred.
- 3+ years of accounts receivable experience preferred, with healthcare revenue cycle experience highly valued.
- 1–3 years of professional experience in a healthcare environment preferred.
- Strong knowledge of insurance processing, reimbursement guidelines, claims procedures, and explanation of benefits (EOBs).
- Understanding of managed care, Medicare, Medicaid, and healthcare payer requirements.
- Knowledge of medical terminology and healthcare coding concepts, including CPT, ICD-10, and ASA codes.
- Strong analytical skills with excellent attention to detail and problem-solving abilities.
- Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and Teams.
- Ability to work independently with limited supervision while also contributing effectively as part of a team.
Responsibilities
- Contact insurance companies to obtain claim status updates and resolve outstanding accounts receivable balances.
- Process, submit, and follow up on insurance claim appeals and refile claims when necessary.
- Review and manage daily correspondence, assigned AR work queues, and follow-up tasks to ensure timely resolution.
- Audit adjustment requests and complete appropriate account updates according to established guidelines.
- Maintain productivity standards and achieve high accuracy levels across assigned accounts.
- Develop expertise across multiple workflows, payer processes, and systems to provide subject matter support.
- Identify payer-related trends, communicate findings to leadership, and support reporting initiatives.
- Assist with peer training and knowledge sharing related to payer processes and system workflows.
- Gather, analyze, and report financial data in collaboration with department leadership.
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