Accounts Receivable Representative III

Job not on LinkedIn

🕒 March 3

🐊 Florida – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

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👻 Ghost score 57%

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Logo of North American Partners in Anesthesia

North American Partners in Anesthesia

5001 - 10000 employees

🛡️ Insurance

📦 Logistics

🏥 Healthcare

Insurance • Logistics • Healthcare

North American Partners in Anesthesia (NAPA) is a clinician-led organization that is redefining healthcare through exceptional anesthesia and perioperative management services. Founded in 1986, NAPA has grown to serve over 3 million patients annually in more than 500 healthcare facilities across the United States. The organization emphasizes high-quality care through innovative leadership development and customer service training, focusing on optimizing results for patients, surgeons, and healthcare administrators. NAPA stands out in the industry with its evidence-based practices, enhancing operational efficiency, safety, and patient satisfaction.

📋 Description

• 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

🎯 Requirements

• High school diploma or equivalent certification required • Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience • 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

🏖️ 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

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