Accounts Receivable Specialist II

2 weeks ago


Maitland, Florida, United States US Anesthesia Partners Full time
Accounts Receivable Specialist II

As an Accounts Receivable Specialist II, your primary responsibility will be to manage the collection of outstanding receivables from various third-party payers, including both governmental and commercial entities, within a firm dedicated to providing management services for anesthesiology practices.

Key Responsibilities:

  • Engage with insurance providers to obtain updates on pending claims
  • Handle and follow up on complex appeals directed to insurance companies
  • Re-submit claims as necessary
  • Process daily correspondence
  • Demonstrate proficiency in spreadsheet applications
  • Review adjustment requests and execute them when warranted
  • Address manual tasks assigned to Accounts Receivable for resolution
  • Manage outstanding receivables from designated work queues
  • Achieve productivity benchmarks established by the department
  • Maintain an accuracy rating of 97% or higher on audited accounts
  • Uphold the highest level of confidentiality
  • Contact patients regarding payments or arrangements for outstanding balances
  • Strive to become a Subject Matter Expert across multiple workflows and payer systems
  • Perform additional duties as assigned

Reporting Structure: This position does not have direct reports.

Qualifications:

  • Exceptional verbal and written communication skills to uphold professionalism in all interactions
  • Basic mathematical skills for calculating anesthesia units, reimbursement amounts, and percentage adjustments
  • Familiarity with medical terminology
  • In-depth understanding of insurance processing, regulations, and Explanation of Benefits (EOBs)
  • Knowledge of managed care, Medicare, and Medicaid protocols
  • High accuracy in data entry tasks
  • Familiarity with CPT, ICD-10, and ASA coding systems
  • Strong problem-solving capabilities
  • Sound decision-making skills
  • Excellent analytical skills and attention to detail
  • Ability to gather and report information effectively
  • Proficient in collaborating with staff, physicians, and external stakeholders
  • Possess a friendly demeanor and a high tolerance for stress
  • Ability to work collaboratively within a team environment
  • Capable of working independently with minimal supervision
  • Self-motivated and goal-oriented
  • Proficient in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
  • Effective communication skills with the public

Education and Experience:

  • High school diploma or equivalent
  • Preferred: Associate or Bachelor's degree in Business Administration or a related field
  • Preferred: 1-3 years of experience in Accounts Receivable

Physical Requirements:

  • Ability to sit for extended periods, with some bending and stretching
  • Good eye-hand coordination and manual dexterity for operating office equipment
  • Normal hearing and vision range for recording and preparing reports
  • Occasional lifting of papers and boxes weighing up to 35 pounds
  • Ability to type at least 50 words per minute

Work Environment:

  • Frequent interaction with professional staff and managed care organizations
  • Work may involve stressful situations
  • Regular interaction with others, which may be disruptive

Disclaimer: This job description is intended to convey the general nature and level of work performed by employees in this role. It is not exhaustive of all duties, responsibilities, and qualifications required for this position.



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