Accounts Receivable Representative

Job not on LinkedIn

🔥 13 hours ago

🐊 Florida, New York, +5 more states – Remote

🐊 Florida – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $28 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 0%

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Steadfast Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Steadfast Health is dedicated to providing compassionate care and facilitating lasting recovery for individuals struggling with substance use disorders (SUD). The company offers a comprehensive range of services that include accessible treatment options, such as outpatient consultations, same-day virtual appointments, and walk-in services. With a patient-centered and evidence-based approach, Steadfast Health aims to support individuals on their unique recovery journeys through medication management, behavioral therapy, and peer recovery support, addressing both substance use and any accompanying medical or psychiatric needs. Their commitment to long-term care coordination ensures that patients receive consistent support throughout their recovery, reducing disruptions and fostering a healing environment.

📋 Description

• Perform consistent follow-up on outstanding insurance claims • Work assigned accounts receivable and payer worklists according to RCM priorities and aging guidelines • Research unpaid, underpaid, rejected, and denied claims and determine resolutions • Contact insurance payers through portals, telephone, and other resources • Review claim statuses, remittance information, EOBs, and ERAs • Correct claim errors and submit corrected claims, reconsiderations, and appeals • Resolve eligibility, authorization, coding, billing, timely filing, coordination of benefits, medical necessity, and payer-specific issues • Follow up on denied claims to obtain payment or final disposition • Identify underpayments and reimbursement discrepancies and escalate payer or contractual issues • Maintain detailed account documentation and payer communication records • Prioritize accounts based on aging, balances, deadlines, and departmental priorities • Identify payer trends, denial patterns, workflow issues, and reimbursement barriers; escalate findings to RCM leadership • Collaborate with coding, intake, clinical operations, and internal teams • Support goals for Days in AR, Net Collection Rate, denial rate, timely filing, and AR reduction • Maintain HIPAA and payer/regulatory compliance • Assist with AR projects, account cleanup, payer research, and other revenue cycle activities • Perform other RCM tasks as assigned

🎯 Requirements

• 3–5 years of healthcare accounts receivable, insurance claim follow-up, and claim resolution experience • Demonstrated experience independently researching and resolving unpaid, underpaid, rejected, and denied insurance claims • Strong knowledge of the healthcare revenue cycle and insurance reimbursement processes • Experience working with commercial and government payers • Ability to interpret EOBs, ERAs, claim status information, denial messages, and payer correspondence • Experience using payer portals and communicating directly with insurance companies to resolve claims • Strong attention to detail and organizational skills • Ability to manage a high-volume AR workload • Ability to identify trends and escalate systemic reimbursement or payer issues • Strong written and verbal communication skills • Ability to work independently while collaborating within an RCM team • Must reside in Florida, Georgia, North Carolina, New York, Ohio, Pennsylvania, Tennessee, or Texas • Preferred: behavioral health and/or substance use disorder billing and AR experience • Preferred: experience with Medicaid, managed Medicaid, Medicare, and commercial insurance claims • Preferred: experience with athenahealth • Preferred: familiarity with Availity and other payer portals • Preferred: experience in a multi-state healthcare organization • Preferred: experience with denial management, appeals, corrected claims, and complex claim resolution • Prolonged periods of sitting at a desk and working on a computer • Must be able to lift and carry up to 15 pounds at times • Ability to safely operate standard office equipment • Must communicate clearly and effectively, verbally and in writing

🏖️ Benefits

• Comprehensive medical, dental, and vision insurance for you and your family • 401(k) match up to 5% • 100% employer-paid short-term and long-term disability insurance • Employer-sponsored life insurance • Generous PTO, floating paid holidays, and paid volunteer days • Four paid Re-Fuel Days each year for mental health, rest, or continuing education • Employee Assistance Program with therapy sessions, legal guidance, financial resources, and health coaching • SoFi student loan interest rate discount • Rightway Health Concierge • One year free pet Telehealth through Pawp • Perkspot Discount Marketplace • Supportive, collaborative culture