Accounts Receivable Specialist

2 weeks ago


Maitland, Florida, United States US Anesthesia Partners Full time
Job Summary

The Accounts Receivable Representative II is a key member of our team at US Anesthesia Partners, responsible for collecting outstanding accounts receivable from third-party payers. This role requires strong communication and problem-solving skills, as well as the ability to work independently with minimal supervision.

Key Responsibilities
  • Contact insurance companies to resolve outstanding claims and appeals
  • Process and follow up on complex appeals to insurance companies
  • Refiling claims as needed and maintaining accurate records
  • Working correspondence daily and maintaining basic proficiency with spreadsheets
  • Auditing adjustment requests and completing them when appropriate
  • Resolving manual tasks assigned to AR for follow-up and working outstanding accounts receivable from assigned work queues
  • Maintaining accuracy ratings of 97% or greater on audited accounts and meeting productivity standards set by the department
  • Maintaining confidentiality and phone patients for payment or payment arrangements on outstanding balances
  • Developing expertise across multiple workflows and various payers
Requirements
  • Excellent verbal and written communication skills to maintain professionalism in all interactions
  • Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for adjustments
  • Medical terminology and advanced knowledge of insurance processing, guidelines, laws, and EOBs
  • Knowledge of managed care, Medicare, and Medicaid guidelines, as well as data entry skills with high accuracy
  • Knowledge of CPT, ICD-10, and ASA codes, good problem-solving skills, and decision-making ability with sound judgment
  • Strong analytical skills and attention to detail, ability to work effectively with staff, physicians, and external customers
  • Pleasant disposition and high tolerance level, ability to work as part of a team, and ability to work independently with limited supervision
  • Self-motivation and goal-oriented, skill in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
Education and Experience
  • High-school graduate or equivalent
  • Associate or bachelor's degree in business administration or related field of study is preferred
  • 1-3 years Accounts Receivable experience preferred
Working Conditions
  • Frequent contact with professional staff and managed care organizations
  • Work may be stressful at times
  • Interaction with others is frequent and often disruptive


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