Accounts Receivable Representative III; Remote

Responsibilities

• Coordinates, monitors, and manages follow‑up on unpaid claims.
• Ensures follow‑up and reimbursement appeals for unpaid and inappropriately paid claims.
• Identifies, researches, and ensures timely processing of billing errors and corrections related to claims.
• Actively participates in problem identification and resolution, coordinating resolutions between appropriate parties.
• Communicates and collaborates effectively with internal and external resources to achieve desired results and resolve issues.
• Reviews and processes all daily correspondence.
• Appeals denied claims via mail, telephone, or websites.
• Performs audits on accounts when needed to review accuracy.
• Updates accounts with information obtained through correspondence and telephone.
• Contacts patients, referring providers, or hospitals to obtain better insurance information, authorization, or updated patient demographics to assist with collections.
• Completes appropriate account maintenance by ensuring the correct statement groups, financial class, and payer codes.
• Accurately documents all follow‑up on accounts to ensure there is an accurate record of the steps taken to collect on an account.
• Assists in completing daily AR Representative 2 workload to support AR team productivity and outcome measures.
• Meets current productivity standards, which include both quantity and quality metrics.
• Maintains a working knowledge of CPT and ICD‑10 codes.
• Keeps current with health‑care practices and laws and regulations related to claims collections.
• Performs other job‑related duties within the job scope as requested by management.

• High school diploma or equivalent certification required; associate degree or equivalent from a two‑year college preferred or equivalent combination of education and experience.
• 3 to 5 years of healthcare claims reimbursement and denial resolution experience.
• Knowledge of major commercial payers (Aetna, BCBS, Cigna, UHC) and Medicare/Medicaid payer guidelines.
• 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 production and attendance.
• Exceptional organization and time‑management skills.

• Generous benefits package, including paid time off, health, life, vision, dental, disability, and AD&D insurance.
• Flexible Spending Accounts/Health Savings Accounts.
• 401(k).
• Leadership and professional development opportunities.

North American Partners in Anesthesia is an equal opportunity employer.