Accounts Receivable Representative II - ON SITE

Overview

The Accounts Receivable Representative II is responsible for collecting outstanding accounts receivable from third party payers;

both government and commercial. All new hires must submit to and pass a pre-employment drug screen and background check.

At this time, US Anesthesia Partners does not hire candidates residing in New York, California, Hawaii, or Alaska.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to) :

Contact insurance companies for status on outstanding claims

Process and follow up on more complex appeals to insurance companies

Refile claims as needed

Work correspondence daily

Maintain basic proficiency with 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 as set by the department

Maintain accuracy rating of 97% or greater on audited accounts

Meet productivity standards as set by the department

Maintains strictest confidentiality

Phone patients for payment or payment arrangements on outstanding balances

Work to become a SME across multiple workflows and various payers

All other duties assigned

REPORTING TO THIS POSITION : No direct reports

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities) :

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

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 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

Skill in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams

Communicate well with the public

EDUCATION / TRAINING / 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

PHYSICAL REQUIREMENTS :

Requires prolonged sitting, some bending, stooping and stretching

Must possess sufficient eye-hand coordination / manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment

Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations

Requires lifting papers and boxes weighing up to 35 pounds occasionally

Requires dexterity to type at least 50 wpm

WORKING CONDITIONS (environment and safety) :

Involves frequent contact with professional staff and managed care organizations

Work may be stressful at times

Interaction with others is frequent and often disruptive

DISCLAIMER : The above job description has been written to indicate the general nature and level of work performed by employees within this classification.

It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.

Anesthesia Partners, Inc. 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.