Accounts Receivable Representative II - RCM - Hybrid

US Anesthesia Partners•Orlando, FL
•Hybrid

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 live in the Orlando, Florida area and be available to work on-site when 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 based on company and individual performance; bonuses are not guaranteed. The representative works assigned accounts receivable queues, contacts insurers about outstanding claims, processes appeals and claim refiling, handles correspondence, and completes other assigned duties. The role requires meeting departmental productivity standards, maintaining at least a 97% accuracy rating on audited accounts, protecting confidential information, and developing subject-matter expertise across workflows and payers. The employee identifies and communicates trends to leadership.

Requirements

  • High school graduate or equivalent.
  • Excellent verbal and written communication skills and professionalism in all methods of communication.
  • 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.
  • Accurate data-entry skills.
  • Knowledge of CPT, ICD-10, and ASA codes.
  • Problem-solving skills and sound decision-making judgment.
  • Strong analytical skills and attention to detail.
  • Ability to gather and report 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-motivation and goal orientation.
  • Computer skills, including MS Word, MS Excel, MS Outlook, and MS Teams.
  • Ability to communicate well with the public.
  • Ability to meet the job’s physical requirements, with or without reasonable accommodation.
  • Must reside in the Orlando, Florida area and be available to work on-site as business needs require.

Nice To Haves

  • Associate or bachelor’s degree in business administration or a related field.
  • 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

  • Quarterly bonus eligibility; bonuses are not guaranteed and are based on company and individual performance.
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