Accounts Receivable Specialist
4 weeks ago
US Anesthesia Partners is seeking a highly skilled Accounts Receivable Representative III to join our team. The ideal candidate will be responsible for collecting outstanding accounts receivable from third-party payers, including government and commercial entities.
Key Responsibilities:
- Contact insurance companies to obtain status on outstanding claims.
- Process and follow up on appeals to insurance companies.
- Refile claims as needed.
- Manage daily correspondence.
- Maintain proficiency in using spreadsheets.
- Audit adjustment requests and complete when appropriate.
- Resolve manual tasks assigned to AR for follow-up.
- Work outstanding accounts receivable from assigned work queues.
- Meet productivity standards set by the department.
- Maintain an accuracy rating of 97% or greater on audited accounts.
- Maintain confidentiality.
- Phone patients for payment or payment arrangements on outstanding balances.
- Develop expertise across multiple workflows and various payers.
- Provide peer payer and system training support.
- Gather data and report out in partnership with leadership.
Requirements:
- High school graduate or equivalent.
- Associate or bachelor's degree in business administration or related field preferred.
- 1-3 years professional/healthcare experience preferred.
- 3+ years Accounts Receivable experience preferred.
- Excellent verbal and written communication skills.
- Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for adjustments.
- Understanding of medical terminology.
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
- Knowledge of managed care, Medicare, and Medicaid guidelines.
- Data entry skills with high accuracy.
- Knowledge of CPT, ICD-10, and ASA codes.
- Good problem-solving skills.
- Decision-making ability with sound judgment.
- Strong analytical skills and attention to detail.
- Skill in gathering and reporting information.
- Ability to work effectively with staff, physicians, and external customers.
- Pleasant disposition and high tolerance level.
- Ability to work as part of a team.
- Ability to work independently with limited supervision.
- Self-motivator and goal-oriented.
- Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
US Anesthesia Partners provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors
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