Accounts Receivable Representative III (Remote) jobs in United States
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North American Partners in Anesthesia ยท 1 day ago

Accounts Receivable Representative III (Remote)

North American Partners in Anesthesia is a healthcare organization seeking an Accounts Receivable Representative III to manage unpaid claims and billing errors. The role involves coordinating follow-ups, ensuring timely processing of claims, and collaborating with internal and external resources to resolve issues.

Health CareManagement Information Systems

Responsibilities

Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims
Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties
Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites. Perform audits on accounts when needed to review for accuracy
Update accounts with information obtained through correspondence and telephone. When necessary, contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections
Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes. Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account
Pitches in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures
Meets the current productivity standard which include both quantity and quality metrics
Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections
Performs other job-related duties within the job scope as requested by Management

Qualification

Health care claims experienceCPTICD-10 knowledgeMS Word proficiencyMS Excel proficiencyVerbal communicationWritten communicationTime managementOrganizational skillsConfidentiality

Required

High school diploma or equivalent certification required
3 to 5 years of health care claims reimbursement and denial resolution experience
Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines
Strong computer skills (including MS Word and Excel)
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
Excellent verbal and written communication skills, including professional telephone etiquette
Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
Dependable in both production and attendance
Exceptional organization and time management skills

Preferred

Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience

Benefits

Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities

Company

North American Partners in Anesthesia

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North American Partners in Anesthesia (NAPA) is the leading single specialty anesthesia and perioperative management company.

Funding

Current Stage
Late Stage
Total Funding
unknown
2016-04-20Acquired

Leadership Team

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Rafael Cartagena
Chief Executive Officer
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John Bugos
Chief Financial Officer
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Company data provided by crunchbase