Accounts Receivable Representative III

🔥 1 hour ago

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Logo of US Anesthesia Partners

US Anesthesia Partners

5001 - 10000 employees

Founded 2012

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🔬 Science

Healthcare Insurance • Pharmaceuticals • Science

US Anesthesia Partners is a leading provider of comprehensive anesthesia services, dedicated to delivering exceptional patient care and operational excellence. Founded by a team of forward-thinking anesthesiologists, USAP specializes in various anesthesiology areas including cardiovascular care, obstetrics, and pediatrics. With a network of thousands of clinicians and hundreds of facility partners across the nation, they serve over two million patients annually, aiming to redefine the standards of quality in anesthesia services.

📋 Description

• Responsible for collecting outstanding accounts receivable from third party payers; both government and commercial • 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 • Works to become an SME across multiple workflows and various payers • Identifies and communicates trends to leadership • Provides peer payer and system training support • Gathers data and reports out in partnership with leadership

🎯 Requirements

• Highschool graduate or equivalent • Associate or bachelor’s degree in business administration or related field of study preferred • 1-3 years professional/healthcare preferred • 3+ years Accounts Receivable experience preferred • 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 • Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.

🏖️ Benefits

• Eligible for a quarterly bonus • All other duties assigned

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