Associate Accounts Receivable Representative

Overview

This role involves working as an Associate Accounts Receivable Representative within a regional business office's Accounts Receivable (A/R) department. The primary responsibility is to perform thorough and timely follow-up on patient accounts to ensure accurate accounts receivable reporting. This includes working with insurance companies and third-party payers to verify that payments from primary and secondary payers, as well as self-pay patients, are accurate and received promptly. The position is vital to the revenue cycle process and requires adherence to organizational policies and procedures.

Responsibilities

• Ensure payments from primary and secondary payers and self-pay patients are accurate.
• Conduct thorough and timely patient account follow-up to maintain accurate accounts receivable reporting.
• Achieve and maintain cash collection metrics and goals.
• Independently handle second-level reimbursement issues, including contracted and non-contracted denials for services before and after procedures.
• Work in a fast-paced environment requiring attention to detail, accountability, teamwork, and professional behavior.
• Collaborate closely with payer provider relations representatives.
• Contact insurance companies via email and phone to collect payments.
• Manage contracted and non-contracted reimbursement issues across various insurance types including HMO, PPO, EPO, POS, Worker’s Compensation, self-pay, and third-party payers.
• Work all denials and corrected claims in collaboration with billers, Business Office Managers, insurance payers, and patients on past due accounts.
• Manage credit balances, patient balance resolution, and non-patient (insurance) resolution.
• Focus primarily on collecting payments from insurance companies rather than from self-payers or individuals.

The work schedule is Monday through Friday with hours from 7:00 AM to 3:30 PM PST / 9:00 AM to 5:30 PM CST / 10:00 AM to 6:30 PM EST.

Requirements

• High School Diploma or GED.
• Recent experience with healthcare denials and appeals.
• Familiarity with Explanation of Benefits (EOB) and the ability to read medical policies from payers.

Compensation & Benefits

• Hourly pay range: $21.00 to $25.00 per hour.
• Comprehensive benefits package including health and dental insurance options, paid time off, 401(k) plan with company match, life and disability insurance, and more.
• Benefits begin on the first day of employment.

Location

This position operates within a regional business office supporting ambulatory surgical centers and specialty physician practice clinics.