Accounts Receivable Representative

Sage Clinical RCM, LLC

. Handle billing, re-billing, post-payment review, account follow-up, and/or grievance preparation for assigned client EMR accounts receivable .

Posted 11/3/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare revenue cycle management, including proficiency in CPT and ICD-10 coding, and the ability to manage billing processes effectively. Strong communication skills and critical thinking abilities are essential for resolving claims and ensuring compliance with regulations.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementCPT and ICD-10 ProficiencyClaim Submission and Follow-UpProfessional-Level Communication SkillsCritical Thinking Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Billing and Re-BillingClaim Review and ScrubbingReimbursement CalculationDocumentation of Account ActivityClaims Research and ValidationAppeals PreparationCompliance with RegulationsMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Soft Skills

Ability to Prioritize WorkSelf-StarterAbility to Work IndependentlyTeam CollaborationFocus and Attention to Detail

Tools & Technologies

Electronic Claims SubmissionHospital/Client SystemThe Q

Industry Keywords

Payer TypesManaged CareCommercial InsuranceState and Federal ProgramsTimely-Filing Guidelines

About the role

Key responsibilities & impact

Handle billing, re-billing, post-payment review, account follow-up, and/or grievance preparation for assigned client EMR accounts receivable
Maintain accounts for specialized or multiple payers, including state and federal government programs, managed care, commercial, and other insurance groups
Partner with team members and health plans to facilitate appropriate and prompt claim payment
Review and scrub final billed initial claims for accuracy and completeness before payer submission
Calculate Tier, Outlier, DRG, and/or other fee-schedule-based reimbursement
Submit electronic and/or hardcopy claims with required attachments according to contract timely-filing criteria
Document account activity in the hospital/client system and The Q
Contact health plans by phone or website to determine claim status
Document follow-up actions and schedule additional review for unresolved accounts
Research and validate paid or partially paid claims against client contract expectations
Review denied, disallowed, or non-covered claims and charges and determine accuracy based on contract language
Resolve technical payer issues when warranted
Request adjustments and refunds according to client-specific procedures
Prepare appeals and documentation for authorization, coding, level-of-care, and/or length-of-stay denials
Follow sorting, filtering, prioritization, and timely-filing guidelines, including high-dollar, all-age-group, and special accounts
Work all payer types

Requirements

What you’ll need

High School diploma or equivalent
2+ years previous experience in healthcare revenue cycle management
Advanced proficiency in CPT and ICD-10
Full-scope revenue cycle management framework knowledge
Professional-level communication skills via video, phone, and email
Ability to prioritize work to meet deadlines and expectations
Ability to meet quality and productivity measures outlined by Quadris
Critical thinking skills
Ability to remain present and focused and eliminate distractions
Self-starter
Ability to work independently and within a team atmosphere
Professional-level skills in Microsoft Excel, Word, and PowerPoint
Proficient application of business/office standard processes and technical applications
Ability to maintain compliance with regulations and laws applicable to the job
Must be able to lift 15 pounds at one time
Must be able to structure a home office to ensure patient information is secure and meet regulatory expectations

Benefits

Comp & perks

Fully remote work arrangement
Home office arrangement to ensure patient information security
Opportunity to work with healthcare finance partners and contribute to technology innovation
Values-driven work environment focused on customer service, relationships, accountability, quality, and new ideas