Accounts Receivable Representative

Job Summary

The AR Representative is responsible for researching, resolving, and assisting with timely follow-up and collections for our clients’ accounts receivables.

Supervisory Responsibilities

This position has no direct supervisory responsibilities.

Duties/Responsibilities

• Process transactions assigned as per the defined standard operating procedure.
• Review aged accounts, follow up and appeal unpaid and/or incorrectly paid or denied accounts.
• Meet or exceed the production and assigned quotas daily and quality accuracy targets/goals assigned.
• Plan, prioritize, organize, and complete work to meet established objectives.
• Ensure compliance with company policies, standards, and procedures.
• Answer questions and resolve issues for consumers and clients in a timely and accurate manner.
• Review and address all correspondence and emails promptly.
• Escalate process-related issues to the supervisor/manager accordingly.
• Perform other related duties as assigned.

Required Skills/Abilities

• Typing skills and accuracy in keying data required.
• Strong analytical skills, including the ability to identify inaccurate or incomplete data.
• Strong logical reasoning skills to identify and correct process errors.
• Extensive knowledge of medical terminology with the ability to correctly read and assess medical documents.
• Basic cognitive skills including language, math, and reasoning ability.
• Solid interpersonal skills with the ability to work with people from diverse backgrounds (both non-technical and highly technical users).
• Demonstrated ability to build and maintain internal and external business relationships.
• Decision-Making Skills: Ability to arrive at appropriate decisions after evaluating multiple options.
• Excellent verbal and written communication skills and strong listening ability, including communicating with customers when needed.
• Exceptional problem-solving skills with the ability to review problems, determine root causes, and identify paths to resolution.
• Strong attention to detail to manage complex claims.
• Ability to work effectively in a changing environment and contribute innovative ideas.
• Excellent time management and organizational skills while balancing multiple priorities.
• Self-starter able to independently drive work.

Education and Experience

• 1 year of experience in follow-up of healthcare claims.
• High school diploma or equivalent.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.