Accounts Receivable Representative II (Remote)

North American Partners in Anesthesia•Saint Paul, MN

7d•Remote

About The Position

Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. This role involves collections efforts on outstanding accounts, including telephone contact with payers, working collection reports and correspondence, auditing accounts, appealing denied claims, updating accounts, identifying carrier-related denial trends, and meeting departmental productivity standards. The Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.

Requirements

High school diploma or equivalent certification required.
2 to 4 years of customer service and/or business office experience preferred in a medical setting.
Knowledge of basic patient accounting processes and healthcare terminology strongly preferred.
Strong computer skills (including MS Word and Excel).
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision.
Excellent verbal and written communication skills, including professional telephone etiquette.
Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance.
Dependable in both production and attendance.
Exceptional organization and time management skills.

Nice To Haves

Associate degree preferred.

Responsibilities

Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling.
Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
Based on electronic payers’ error reports, makes appropriate corrections to optimize the electronic claims submission process.
Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
Assists in reviewing and/or resolving credit balances.
Participates in general or special assignments and attends required training.