Accounts Receivable Representative III
Skills
Accounts ReceivableCash CollectionComputer LiteracyConfidentialityCorrectionsCurrent Procedural TerminologyICD-10
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- High school diploma or equivalent required
- Associate degree preferred or equivalent experience
- 3 to 5 years of healthcare claims reimbursement and denial resolution experience
- Knowledge of major commercial and government payer guidelines
- Strong computer skills including MS Word and Excel
- Ability to manage multiple tasks accurately in a fast-paced environment
- Excellent verbal and written communication skills
- Professional telephone etiquette
- Ability to maintain confidentiality and HIPAA compliance
- Dependable attendance and production performance
- Strong organization and time management skills
- Working knowledge of CPT and ICD-10 codes
Nice to have
- Detail-oriented
- Team-oriented
- Organized
- Dependable
- Professional
Day to day
- Coordinates and manages follow-up on unpaid claims, ensuring accurate reimbursement appeals and timely claim resolution
- Reviews daily correspondence and processes denied claims through mail, telephone, and online payer systems
- Performs account audits, updates billing information, and documents every follow-up action with precision
- Communicates with patients, providers, and hospitals to resolve insurance issues and support collections
- Maintains productivity standards while working collaboratively to improve AR outcomes and team performance
