Accounts Receivable Representative II - RCM - Hybrid

US Anesthesia Partners, Inc.•Orlando, FL
•$16 - $26•Remote

About The Position

The Accounts Receivable Representative II – RCM collects outstanding accounts receivable from government and commercial third-party payers. The position is primarily remote, but candidates must reside in the Orlando, Florida area and be available to work on-site as business needs require. The estimated base pay is $16.49–$26.39 per hour. The final offer depends on the selected candidate’s skills, experience, and qualifications. The role is eligible for a quarterly bonus, which is not guaranteed and is based on company and individual performance.

Requirements

  • High school graduate or equivalent.
  • Excellent verbal and written communication skills to maintain professionalism across communication methods.
  • Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments.
  • Understanding of medical terminology.
  • Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
  • Knowledge of managed care, Medicare, and Medicaid guidelines.
  • Accurate data entry skills.
  • Knowledge of CPT, ICD-10, and ASA codes.
  • Good problem-solving skills.
  • Decision-making ability and 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 and independently with limited supervision.
  • Self-motivated and goal-oriented.
  • Proficiency with computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
  • Ability to communicate well with the public.

Nice To Haves

  • Associate or bachelor’s degree in business administration or a related field of study.
  • 1–3 years of professional or healthcare experience.
  • 1–3 years of Accounts Receivable experience.

Responsibilities

  • Contact insurance companies for status updates on outstanding claims.
  • Process and follow up on appeals to insurance companies.
  • Refile claims as needed.
  • Work correspondence daily.
  • Maintain basic proficiency with spreadsheets.
  • Audit adjustment requests and complete them when appropriate.
  • Resolve manual tasks assigned to Accounts Receivable for follow-up.
  • Work outstanding accounts receivable from assigned work queues.
  • Meet department productivity standards.
  • Maintain an accuracy rating of 97% or greater on audited accounts.
  • Maintain strict confidentiality.
  • Develop subject matter expertise across multiple workflows and payers.
  • Identify and communicate trends to leadership.
  • Perform other duties as assigned.

Benefits

  • Eligible for a quarterly bonus based on company and individual performance; bonuses are not guaranteed.
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