Accounts Receivable Representative III (Remote), Florida

Responsibilities

Coordinates, monitors, and manages follow‑up on unpaid claims. Ensures follow‑up and reimbursement appeals for unpaid and inappropriately paid claims. Identifies, researches, and ensures timely processing of billing errors and corrections related to claims. Actively participates in problem identification and resolution, coordinatingresolutions between appropriate parties.Communicates and collaborates effectively with internal and external resources to achieve desired results and resolve issues. Reviews and processes all daily correspondence. Appeals denied claims via mail, telephone, or websites. Performs audits on accounts when needed to review accuracy. Updates accounts with information obtained through correspondence and telephone.Contacts patients, referring providers, or hospitals to obtain better insurance information, authorization, or updated patient demographics to assist with collections. Completes appropriate account maintenance by ensuring the correct statement groups, financial class, and payer codes. Accurately documents all follow‑up on accounts to ensure there is an accurate record of the steps taken to collect on an account.Assists in completing daily AR Representative 2 workload to support AR team productivity and outcome measures. Meets current productivity standards, which include both quantity and quality metrics. Maintains a working knowledge 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. Qualifications

High school diploma or equivalent certification required; associate degree or equivalent from a two‑year college preferred or equivalent combination of education and experience. 3 to 5 years of healthcare claims reimbursement and denial resolution experience. Knowledge of major commercial payers (Aetna, BCBS, Cigna, UHC) and 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 production and attendance. Exceptional organization and time‑management skills. Benefits

Generous benefits package, including 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. EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.

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