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Accounts Receivable Representative II – RCM
US Anesthesia Partners
Posted: 10/14/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare insurance accounts receivable processes, including claims verification, billing error identification, and appeals management. Proficient in navigating payer websites and utilizing accounts receivable software while ensuring compliance with HIPAA and other regulations.
Highest-signal resume keywords
Healthcare Insurance Accounts ReceivableClaims VerificationEOB ReviewAccounts Receivable SoftwareHIPAA Compliance
About the role
Key responsibilities & impact- Verify or obtain patient eligibility and/or authorization for healthcare services through payer websites, client eligibility systems, phone conversations with insurance carriers, or healthcare providers.
- Update patient demographics and insurance information in appropriate systems.
- Research and appropriately status unpaid or denied claims.
- Monitor claims for missing information, authorization, and control numbers (ICN/DCN).
- Research EOBs for payments or adjustments to resolve claims.
- Contact payers by phone or written correspondence to secure claim payments.
- Access client systems for received payments, open claims, and other data needed to resolve claims.
- Follow prioritization, timely filing deadline, and notation protocols.
- Secure medical documentation requested by third-party insurance carriers.
- Research provider billing manuals to obtain billing guidelines and requirements.
- Write appeal letters for technical appeals.
- Verify underpayments by researching contracts and claims data.
- Prepare claims for clinical audit processing for authorization, coding, level-of-care, or length-of-stay denials.
- Support Savista's Compliance Program by following HIPAA, FDCPA, FCRA, and other applicable laws; handling patient information in a HIPAA-compliant manner and maintaining confidentiality.
Requirements
What you’ll need- High school diploma or GED.
- At least two years of experience in healthcare insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or commercial insurance payers.
- Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
- Experience reviewing EOB and UB-04 forms to conduct A/R activities.
- Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
- At least two years of experience with accounts receivable software.
- Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up.
- Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.
- Demonstrated success working both individually and in a team environment.
- Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.
- Ability to work effectively with cross-functional teams to achieve goals.
- Demonstrated ability to meet performance objectives.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingBilling Error IdentificationAppeal Letter WritingPayment ReconciliationMedical Documentation ManagementDenial OverturnsCoordination of BenefitsData EntryA/R ActivitiesPayer Site Navigation
Soft Skills
Effective CommunicationTeam CollaborationProblem SolvingAttention to DetailTime Management
Tools & Technologies
Microsoft OfficeMicrosoft ExcelInternet ExplorerClient Eligibility SystemsPayer Websites
Industry Keywords
Healthcare ServicesPatient EligibilityInsurance CarriersClaims DenialsThird-Party Payer Billing