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Accounts Receivable Representative III
US Anesthesia Partners. Contact insurance companies regarding outstanding claim status .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance processing, including knowledge of CPT, ICD-10, and ASA codes, while maintaining high accuracy in data entry and claims management. Proficient in communication and collaboration with healthcare professionals and external customers to resolve accounts receivable issues effectively.
Highest-signal resume keywords
Accounts Receivable ExperienceInsurance Processing KnowledgeData Entry SkillsCommunication SkillsProblem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance ProcessingData EntryMedical TerminologyCPT CodesICD-10 CodesASA CodesBasic Math SkillsClaims ManagementAudit SkillsAdjustment Requests
Soft Skills
Attention to DetailAnalytical SkillsDecision-MakingSelf-MotivatedTeamwork
Tools & Technologies
MS WordMS ExcelMS OutlookMS Teams
Industry Keywords
Healthcare ExperienceManaged CareMedicare GuidelinesMedicaid GuidelinesEOBs
About the role
Key responsibilities & impact- Contact insurance companies regarding outstanding claim status
- Process and follow up on insurance appeals
- Refile claims as needed
- Work correspondence daily
- Maintain basic proficiency with spreadsheets
- Audit and complete adjustment requests when appropriate
- Resolve Manual Tasks assigned to Accounts Receivable for follow-up
- Work outstanding accounts receivable from assigned work queues
- Meet department productivity standards
- Maintain an accuracy rating of at least 97% on audited accounts
- Maintain strict confidentiality
- Develop subject-matter expertise across multiple workflows and payers
- Identify and communicate trends to leadership
- Provide peer payer and system training support
- Gather data and report findings in partnership with leadership
- Perform other assigned duties
Requirements
What you’ll need- High school graduate or equivalent
- 1–3 years professional/healthcare experience preferred
- 3+ years Accounts Receivable experience preferred
- Excellent verbal and written communication skills
- Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for adjustments
- Understanding of medical terminology
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs
- Knowledge of managed care, Medicare, and Medicaid guidelines
- Accurate data entry skills
- Knowledge of CPT, ICD-10, and ASA codes
- Problem-solving, decision-making, analytical, and attention-to-detail skills
- Ability to gather and report information
- Ability to work effectively with staff, physicians, and external customers
- Ability to work as part of a team and independently with limited supervision
- Self-motivated and goal-oriented
- Proficiency in MS Word, MS Excel, MS Outlook, and MS Teams
- Must reside in the United States, excluding California, Hawaii, and Alaska
Benefits
Comp & perks- Quarterly bonus eligibility (not guaranteed; based on company and individual performance)
- Reasonable accommodations may be made for individuals with disabilities