Accounts Receivable Representative III

Skills
Accounts ReceivableCash CollectionComputer LiteracyConfidentialityCorrectionsCurrent Procedural TerminologyICD-10
Role

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