Accounts Receivable Representative II (Remote)

North American Partners in Anesthesia•Saint Paul, MN

5d•Remote

About The Position

Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative II manages accounts receivable for assigned payers. The role pursues collections on outstanding accounts through telephone contact, collection reports and correspondence, account audits and updates, appeals of denied claims, identification of payer-related denial trends, and achievement of departmental productivity standards. The representative also coordinates the transfer of patient responsibility and follows up on accounts requiring additional insurance collection efforts. The position reviews and submits claims, documents billing and collection activity, supports compliance with billing regulations and HIPAA, monitors claims for errors and trends, and works with patients, third parties, and ancillary departments to resolve billing questions and account issues. It also includes reviewing or resolving credit balances, participating in assignments, and attending required training.

Requirements

High school diploma or equivalent certification required.
Strong computer skills, including Microsoft Word and Excel.
Ability to maintain accuracy while managing multiple tasks in a fast-paced environment under low-to-moderate supervision.
Excellent verbal and written communication skills, including professional telephone etiquette.
Ability to protect confidential information and maintain HIPAA compliance.
Dependability in production and attendance.
Exceptional organization and time-management skills.

Nice To Haves

Associate degree preferred.
Two to four years of customer service and/or business office experience, preferably in a medical setting.
Knowledge of basic patient accounting processes and healthcare terminology strongly preferred.

Responsibilities

Review, evaluate, and forward manual paper claims to payers that do not accept electronic claims or require special handling.
Document billing activity on patient accounts, ensure compliance with applicable billing regulations, and report suspected compliance issues to departmental leaders.
Review claims for accuracy and coordinate with ancillary departments to provide information for audits or record reviews.
Correct issues identified in electronic payers’ error reports to improve electronic claims submission.
Follow up promptly on aged accounts, including helping formulate written appeals when needed.
Accurately document account follow-up and collection steps.
Monitor claim rejections for trends and issues and report findings to the lead biller and other departmental leaders.
Answer patient and third-party questions and address billing concerns in a timely, professional manner.
Assist in reviewing or resolving credit balances.
Participate in general or special assignments and attend required training.
Contact payers by telephone and work collection reports and correspondence to collect outstanding accounts.
Audit and update accounts, appeal denied claims as necessary, and identify payer-related denial trends.
Coordinate the transfer of patient responsibility and work accounts requiring additional insurance collection follow-up.
Meet departmental productivity standards.