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Accounts Receivable Representative II
North American Partners in Anesthesia. Manage accounts receivable for assigned payers under the supervision of the Collections Supervisor or Manager .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing accounts receivable, including auditing accounts, appealing denied claims, and ensuring compliance with HIPAA regulations. Proficient in patient accounting processes and skilled in maintaining accuracy in a fast-paced medical environment.
Highest-signal resume keywords
Accounts Receivable ManagementPatient Accounting ProcessesHIPAA ComplianceVerbal And Written Communication SkillsMS Word And Excel Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Accounts ReceivableClaims AuditingClaims SubmissionDenial ManagementBilling DocumentationError CorrectionInsurance Follow-UpPatient Responsibility CoordinationCredit Balance ResolutionTrend Monitoring
Soft Skills
Organizational SkillsTime ManagementDependabilityProfessional Telephone EtiquetteConfidentiality Maintenance
Certifications & Qualifications
High School DiplomaEquivalent CertificationAssociate Degree (Preferred)
Industry Keywords
Healthcare TerminologyCustomer ServiceBusiness Office ExperienceMedical SettingCompliance Issues
About the role
Key responsibilities & impact- Manage accounts receivable for assigned payers under the supervision of the Collections Supervisor or Manager
- Contact payers by telephone and work collection reports and correspondence
- Audit accounts and appeal denied claims as necessary
- Update accounts and identify carrier-related denial trends
- Coordinate the transfer of patient responsibility and work accounts requiring additional insurance collection follow-up
- 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 and report suspected compliance issues
- Review claims for accuracy and coordinate with ancillary departments for audits and record reviews
- Correct errors identified in electronic payer reports to optimize claims submission
- Follow up promptly on aged accounts and help formulate written appeals
- Accurately document all collection follow-up activity
- Monitor claim rejections for trends and report findings to departmental leaders
- Answer patient and third-party questions and address billing concerns
- Assist in reviewing and resolving credit balances
- Participate in general or special assignments and attend required training
Requirements
What you’ll need- High school diploma or equivalent certification required
- Associate degree preferred
- 2 to 4 years of customer service and/or business office experience preferred in a medical setting
- Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
- 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 both production and attendance
- Exceptional organization and time management skills
Benefits
Comp & perks- Paid Time Off
- Health insurance
- Life insurance
- Vision insurance
- Dental insurance
- Disability insurance
- AD&D insurance
- Flexible Spending Accounts/Health Savings Accounts
- 401(k)
- Leadership and professional development opportunities