Surgical AR Representative

PRM

. Oversee out-of-network billing and collections success for 3-4 medical practices operating in different states from the central billing office in West Palm Beach .

Posted 10/16/2026full-timeRemote • Florida • United StatesJuniorMid-Level💰 $20 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in surgical billing and reimbursement processes, with a strong focus on denial management and appeals. Proficient in navigating insurance portals and managing billing trends across multiple medical practices.

Highest-signal resume keywords

Surgical Billing Reimbursement ExperienceDenial ManagementEClinical Works RCM ExperienceCoding Guidelines KnowledgeMedical Terminology Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Surgical BillingDenial ManagementCoding GuidelinesReimbursement SchemesPatient Account ManagementAppeals ManagementBilling Trends AnalysisInsurance Portal NavigationData EntryRoot Cause Analysis

Soft Skills

Organizational SkillsWritten CommunicationOral CommunicationAnalytical SkillsTeam Collaboration

Tools & Technologies

EClinical Works

Industry Keywords

Medical BillingOut-of-Network BillingSurgical ProceduresASC EnvironmentClaim Resolution

About the role

Key responsibilities & impact

Oversee out-of-network billing and collections success for 3-4 medical practices operating in different states from the central billing office in West Palm Beach
Identify denial trends and manage appeals for underpayment
Identify, articulate, address, and demonstrate root cause of non-payment or underpayment
Identify trends in billing, coding, denials, and underpayment
Update plan IDs and patient/payor demographic information
Identify payor issues and trends
Manage rejections and denials
Answer medical record requests related to claim resolution
Manage system and clearinghouse rejections
Navigate insurance portals
Respond to medical records requests
Train others
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or Equivalent
2-3 Years full-time surgical billing reimbursement experience
Full understanding of surgical billing from hospital and ASC environment
Superior knowledge of coding guidelines and reimbursement schemes
Exceptional organizational and computer skills
Willing and able to follow directions and adhere to priorities
Conversational knowledge of medical terminology, abbreviations, techniques, and surgical procedures
Excellent written and oral communication along with solid analytical skills
Ability to work independently and with a team
3 years eClinical Works RCM experience in patient account and denial management

Benefits

Comp & perks

Health, Vision and Dental
Paid holiday and PTO
FSA
High income potential with base and bonus structure