Overview

Job Highlights

• Contact insurance companies for status on outstanding claims
• Process and follow up on all appeal types/expert level to insurance companies
• Refile claims as needed
• Work correspondence daily
• Maintain basic proficiency with using spreadsheets
• Audit adjustment requests and complete when appropriate
• Resolve Manual Tasks assigned to AR for follow up
• Work outstanding Accounts Receivable from assigned work queues
• Meet productivity standards as set by the department
• Maintain accuracy rating of 97% or greater on audited accounts
• Meet productivity standards as set by the department
• Maintains strictest confidentiality
• Phone patients for payment or payment arrangements on outstanding balances
• Function as a SME across multiple workflows and various payers
• Provide peer payer and system training support
• Gather data and report out in partnership with leadership
• All other duties assigned

Qualifications

• Excellent verbal and written skills to maintain professionalism in all methods of communication
• Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments
• Medical terminology
• Advanced knowledge of insurance processing, guidelines, laws, and EOBs
• Knowledge of managed care, Medicare, and Medicaid guidelines
• Data entry skills with high accuracy
• Knowledge of CPT, ICD-10 and ASA codes
• Good problem-solving skills
• Decision making ability with sound judgement
• Strong analytical skills and attention to detail
• Skill in gathering and reporting information
• Ability to work effectively with staff, physicians, and external customers
• Must have a pleasant disposition and high tolerance level
• Must be able to work as part of a team
• Ability to work independently with limited supervision
• Must be a self-motivator and goal-oriented
• Skill in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams
• Communicate well with the public

• High-school graduate or equivalent
• Associate or bachelor’s degree in business administration or related field of study is preferred
• 3+ years Accounts Receivable experience preferred

• Requires prolonged sitting, some bending, stooping and stretching
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator, and other office equipment
• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations
• Requires lifting papers and boxes weighing up to 35 pounds occasionally
• Requires dexterity to type at least 50 wpm

• Work performed in office environment
• Involves frequent contact with professional staff and managed care organizations
• Work may be stressful at times
• Interaction with others is frequent and often disruptive

Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.