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Accounts Receivable Representative
Steadfast Health. Perform consistent follow-up on outstanding insurance claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare accounts receivable management, including insurance claim follow-up, resolution, and compliance with regulatory standards. Proficient in analyzing claim statuses, EOBs, and payer communications to optimize revenue cycle performance.
Highest-signal resume keywords
Healthcare Accounts Receivable ManagementInsurance Claim Follow-UpClaim Resolution ExperienceRevenue Cycle Management (RCM)Payer Portal Utilization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Status AnalysisEOB InterpretationDenial ManagementCorrected Claims SubmissionPayer CommunicationBilling and Coding KnowledgeAR Workload ManagementReimbursement Discrepancy IdentificationSystemic Issue EscalationBehavioral Health Billing
Soft Skills
Attention to DetailOrganizational SkillsWritten CommunicationVerbal CommunicationCollaboration
Tools & Technologies
AthenahealthAvailityPayer Portals
Industry Keywords
Healthcare Revenue CycleInsurance Reimbursement ProcessesMedicaidMedicareCommercial InsuranceMulti-State Healthcare OrganizationTimely FilingAR ReductionPayer-Specific IssuesHIPAA Compliance
About the role
Key responsibilities & impact- Perform consistent follow-up on outstanding insurance claims
- Work assigned accounts receivable and payer worklists according to RCM priorities and aging guidelines
- Research unpaid, underpaid, rejected, and denied claims and determine resolutions
- Contact insurance payers through portals, telephone, and other resources
- Review claim statuses, remittance information, EOBs, and ERAs
- Correct claim errors and submit corrected claims, reconsiderations, and appeals
- Resolve eligibility, authorization, coding, billing, timely filing, coordination of benefits, medical necessity, and payer-specific issues
- Follow up on denied claims to obtain payment or final disposition
- Identify underpayments and reimbursement discrepancies and escalate payer or contractual issues
- Maintain detailed account documentation and payer communication records
- Prioritize accounts based on aging, balances, deadlines, and departmental priorities
- Identify payer trends, denial patterns, workflow issues, and reimbursement barriers; escalate findings to RCM leadership
- Collaborate with coding, intake, clinical operations, and internal teams
- Support goals for Days in AR, Net Collection Rate, denial rate, timely filing, and AR reduction
- Maintain HIPAA and payer/regulatory compliance
- Assist with AR projects, account cleanup, payer research, and other revenue cycle activities
- Perform other RCM tasks as assigned
Requirements
What you’ll need- 3–5 years of healthcare accounts receivable, insurance claim follow-up, and claim resolution experience
- Demonstrated experience independently researching and resolving unpaid, underpaid, rejected, and denied insurance claims
- Strong knowledge of the healthcare revenue cycle and insurance reimbursement processes
- Experience working with commercial and government payers
- Ability to interpret EOBs, ERAs, claim status information, denial messages, and payer correspondence
- Experience using payer portals and communicating directly with insurance companies to resolve claims
- Strong attention to detail and organizational skills
- Ability to manage a high-volume AR workload
- Ability to identify trends and escalate systemic reimbursement or payer issues
- Strong written and verbal communication skills
- Ability to work independently while collaborating within an RCM team
- Must reside in Florida, Georgia, North Carolina, New York, Ohio, Pennsylvania, Tennessee, or Texas
- Preferred: behavioral health and/or substance use disorder billing and AR experience
- Preferred: experience with Medicaid, managed Medicaid, Medicare, and commercial insurance claims
- Preferred: experience with athenahealth
- Preferred: familiarity with Availity and other payer portals
- Preferred: experience in a multi-state healthcare organization
- Preferred: experience with denial management, appeals, corrected claims, and complex claim resolution
- Prolonged periods of sitting at a desk and working on a computer
- Must be able to lift and carry up to 15 pounds at times
- Ability to safely operate standard office equipment
- Must communicate clearly and effectively, verbally and in writing
Benefits
Comp & perks- Comprehensive medical, dental, and vision insurance for you and your family
- 401(k) match up to 5%
- 100% employer-paid short-term and long-term disability insurance
- Employer-sponsored life insurance
- Generous PTO, floating paid holidays, and paid volunteer days
- Four paid Re-Fuel Days each year for mental health, rest, or continuing education
- Employee Assistance Program with therapy sessions, legal guidance, financial resources, and health coaching
- SoFi student loan interest rate discount
- Rightway Health Concierge
- One year free pet Telehealth through Pawp
- Perkspot Discount Marketplace
- Supportive, collaborative culture