Accounts Receivable (AR) Representative

Impact Advisors

1d•Onsite

About The Position

Impact Advisors is seeking a dynamic and motivated Accounts Receivable Representative. This role is responsible for follow up on unpaid, underpaid, or denied claims, tracking and resolving outstanding payment issues or variances, investigating and resolving denials and initiating and submitting appeals. Must be familiar with all EHRs, clearinghouses, payer portals, and accounting procedures and can manage daily financial transactions end-to-end. This position offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.

Requirements

High School Diploma or GED required
Proven work experience in healthcare AR, Billing or revenue cycle
Basic understanding of healthcare revenue cycle
Strong attention to detail and willingness to learn payer rules
Ability to follow structured processes and workflows
Experience with appeals and denials resolution

Nice To Haves

Associate’s or Bachelor’s degree in health information management or related field preferred
Ability to manage complex, high-dollar, and aged AR accounts (e.g., >120 / >180 days)
Experience with Medicare, Medi-Cal, and Medi-Cal Managed Care claims
Experience in a high volume or managed service environment
Willingness to travel once per quarter to a client location
Ability to build strong relationships at all levels of the organization and provide exemplary customer service to patients.
Ability to listen effectively, as well as strong communication skills.
Must always demonstrate professionalism.
Ability to sit, stand and walk for extended periods of time.

Responsibilities

Perform follow up on unpaid and underpaid insurance claims and review claim status through payer portals, IVR systems and clearinghouses
Manage work queue and meet productivity expectations
Independently resolve denials including medical necessity, authorization, coding, payer policy disputes, and timely filing exceptions
Execute formal appeals, including medical record review, narrative development, and payer escalation
Analyze remittance to identify underpayments, takebacks, and payer trends
Manage and maintain detailed records of all receivable transactions, including invoices, statements, and customer correspondence
Monitor account details for non-payments, delayed payments, and other irregularities
Comply with federal, state, and company policies, procedures, and regulations
Perform day-to-day financial transactions, including verifying, classifying, and recording accounts receivable data