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Accounts Receivable Representative – RCM Medical Billing
nimble solutions. Work primarily on the phone with insurance companies to overturn denied claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and accounts receivable management, with a strong focus on overturning denied claims and enhancing client collections. Proficient in using various practice management systems and EMR software to ensure efficient claim processing and documentation.
Highest-signal resume keywords
Medical Billing ExperienceEpic EMR Software ProficiencyClaims Appeals WritingAccounts Receivable ManagementCustomer Service Excellence
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaims ProcessingAppeals WritingAccounts Receivable ManagementPayer Portal NavigationDocumentation ManagementClaim Status ReviewWorkflow Technology UtilizationKPI AchievementHigh Dollar Value Account Prioritization
Soft Skills
Customer Service MindsetTeam CollaborationOrganizational SkillsAttention to DetailProfessional Communication
Tools & Technologies
EpicNextGenHSTAthenaCernerAvailityPractice Management SystemsWorkflow Technologies
Industry Keywords
Insurance ClaimsPayer RelationsDenial ManagementClient CollectionsHealthcare Revenue Cycle
About the role
Key responsibilities & impact- Work primarily on the phone with insurance companies to overturn denied claims
- Write appeals to insurance companies to overturn denied or underpaid claims
- Work with national payers across multiple states and systems
- Collaborate with team members
- Work in multiple practice management systems and workflow technologies
- Receive and address client inquiries related to unpaid insurance claims
- Check payer portals for insurance claim statuses
- Participate in team and client meetings
- Work with leadership to increase client collections and get additional claims paid
- Prioritize work queues for maximum efficiency
- Call insurance carriers to obtain timely processing of patient claims
- Contact payers to understand denied or incorrectly paid claims
- Document insurance carrier contracts and estimated payment dates
- Provide information to expedite claim processing
- Review system notes and claims for completeness and accuracy
- Write and submit appeals
- Meet facility goals and KPIs
- Attach appropriate documentation such as operative notes and invoices
- Maintain daily activity records
- Use system reports to manage accounts receivable
- Prioritize accounts based on high dollar value and days in AR
- Document write-offs and submit refund requests
- Maintain batch logs by date
- File activity into monthly charts by facility
Requirements
What you’ll need- 1+ years of experience in medical billing or accounts receivable
- Experience using Epic, NextGen, HST, Athena, Cerner, Availity or other large EMR software is highly preferred
- High school diploma or equivalent
- Exceptional customer service mindset with a focus on high-quality delivery
- Consummate team player
- Ability to work with a sense of urgency
- Task oriented
- Organized and attentive to detail
- Ability to communicate in a professional atmosphere and be comfortable on the phone for the majority of the day
- Ability to work in a competitive environment
- Amazing attitude
- Dedication
- Collaboration
- Creativity
- Out-of-the-box thinking
- A sense of humor and fun
Benefits
Comp & perks- Fully remote work environment
- Full-time employment
- Day shift
- Monday to Friday schedule
- 8-hour shift
- Valuable experience and visibility to Executive leadership
- Positive culture-building and team morale
- Exposure to national payers working in multiple states and systems