Overview
A remote, full-time opportunity is available for a Workers’ Compensation Accounts Receivable (AR) Representative to support timely and accurate resolution of Workers’ Compensation claims. This role suits a detail-oriented professional experienced in claim follow-up, denial research, and independent work within a fast-paced revenue cycle environment.
Responsibilities
- Review, validate, and submit Workers’ Compensation claims accurately and promptly
- Follow up on outstanding WC claims to ensure timely reimbursement
- Research claim denials and rejections; prepare and submit appeals or corrected claims as necessary
- Communicate with employers, adjusters, and WC payers to resolve payment delays and obtain required documentation
- Ensure compliance with state WC regulations, payer policies, and timely filing requirements
- Maintain AR aging targets and productivity standards
- Collaborate with clinical and billing teams to secure medical records, authorizations, and supporting documentation
- Maintain clear, accurate claim notes and documentation of payer correspondence and resolution activities
Requirements
- Minimum 1 year of Workers’ Compensation billing and AR follow-up experience
- Experience working with third-party WC administrators and state-specific WC portals
- Familiarity with CMS1500, UB04 (if applicable), and WC-specific billing forms
- Working knowledge of ICD10, CPT, and modifier usage related to WC claims
- Prior experience in hospital or multispecialty group revenue cycle operations
- Strong communication, problem-solving, and organizational skills
- High attention to detail and commitment to accuracy
- Ability to work independently in a remote environment with minimal supervision
- High school diploma or equivalent
Skills & Competencies
- Effective communication with internal teams and external payers
- Proven problem-solving skills to research issues and drive claim resolution
- Detail-oriented approach ensuring accuracy in documentation and follow-up
- Comfortable collaborating cross-functionally and adapting to changing priorities
Compensation & Benefits
- Pay range: $18–$20 per hour
Location