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About the Role

The Accounts Receivable Representative I – RCM is responsible for collecting outstanding accounts receivable from third party payers, both government and commercial.

Responsibilities

• Contacts insurance companies for status on outstanding claims.
• Processes and follows up on appeals to insurance companies.
• Refiles claims as needed.
• Works correspondence daily.
• Maintains basic proficiency with using spreadsheets.
• Audits adjustment requests and completes when appropriate.
• Resolves manual tasks assigned to AR for follow up.
• Works outstanding accounts receivable from assigned work queues.
• Meets productivity standards as set by the department.
• Maintains an accuracy rating of 97% or greater on audited accounts.
• Maintains strictest confidentiality.
• Identifies and communicates trends to leadership.
• All other duties assigned.

Requirements

• High school graduate or equivalent.
• Excellent verbal and written skills to maintain professionalism in all methods of communication.
• Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments.
• Understanding of Medical terminology.
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
• Knowledge of managed care, Medicare, and Medicaid guidelines.
• Data entry skills with high accuracy.
• Knowledge of CPT, ICD-10, and ASA codes.
• Good problem-solving skills.
• Decision making ability with sound judgement.
• Strong analytical skills and attention to detail.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians, and external customers.
• Must have a pleasant disposition and high tolerance level.
• Must be able to work as part of a team.
• Ability to work independently with limited supervision.
• Must be a self-motivator and goal oriented.
• Communicated well with the public.
• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

Skills

• MS Word
• MS Excel
• MS Outlook
• MS Teams

Experience Level

• 1-3 years professional/healthcare experience preferred

Education Level

• High school graduate or equivalent
• Associate or bachelor’s degree in business administration or related field of study is preferred

Salary/Compensations

• $15.00 - $23.99 hourly
• Eligible for a quarterly bonus

About the Company

• US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.

Equal Opportunity

• US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.