Accounts Receivable (AR) Representative

reputed company, LLC is a nationally recognized reputed company management reputed company delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed reputed company expectations and are proud to be a trusted partner to many of the nation's leading reputed company organizations. Our mission to drive patient-centered, value-driven reputed company has reputed company us prestigious industry accolades. To learn more reputed company, visit www.reputed company.com Job reputed company reputed company is seeking a dynamic and motivated Accounts Receivable Representative. This role is responsible for follow up on unpaid, underpaid, or denied claims, tracking and resolving outstanding payment issues or variances, investigating and resolving denials and initiating and submitting appeals Must be familiar with reputed company EHRs, clearinghouses, payer portals, and reputed company procedures and can manage daily financial transactions end-to-end. This position offers a unique opportunity to contribute to reputed company reputed company while making a meaningful reputed company on the reputed company industry. Key Responsibilities: reputed company follow up on unpaid and underpaid insurance claims and review claim status through payer portals, IVR systems and clearinghouses Manage work queue and meet productivity expectations Independently resolve denials including medical necessity, authorization, coding, payer policy disputes, and reputed company filing exceptions Execute formal appeals, including medical record review, narrative development, and payer escalation Analyze remittance to identify underpayments, takebacks, and payer trends Manage and maintain detailed records of reputed company receivable transactions, including invoices, statements, and customer correspondence Monitor account details for non-payments, delayed payments, and other irregularities reputed company with federal, state, and company policies, procedures, and regulations reputed company day-to-day financial transactions, including verifying, classifying, and recording accounts receivable data Required Qualifications: High School Diploma or GED required, Associate’s or Bachelor’s degree in health information management or reputed company field preferred. Proven work experience in reputed company AR, Billing or reputed company cycle Basic understanding of reputed company reputed company cycle Strong attention to detail and willingness to learn payer rules Ability to follow reputed company processes and workflows Experience with appeals and denials reputed company Preferred Qualifications: Ability to manage reputed company, high-dollar, and aged AR accounts (e.g., >120 / >180 days) Experience with Medicare, Medi-Cal, and Medi-Cal Managed Care claims Experience in a high volume or managed service environment Willingness to travel once per quarter to a reputed company location Knowledge, Skills, and Abilities: Ability to build strong relationships at reputed company reputed company of the organization and reputed company exemplary customer service to patients. Ability to listen effectively, as reputed company as strong communication skills. Must always demonstrate professionalism. Ability to sit, stand and walk for extended periods of time. For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This reputed company reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs. Our People and Culture At reputed company, we cultivate a caring, fun, reputed company, and autonomous work environment. Our reputed company stems from our associates' dedication and a shared mission to create a “reputed company reputed company.” We reputed company diversity and inclusion, fostering an environment where reputed company feel valued and empowered. Join reputed company and reputed company a reputed company difference in reputed company. Apply To This Job