Accounts Receivable, AR Representative

Job Description: • Perform 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 timely 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 all receivable transactions, including invoices, statements, and customer correspondence • Monitor account details for non-payments, delayed payments, and other irregularities • Comply with federal, state, and company policies, procedures, and regulations • Perform day-to-day financial transactions, including verifying, classifying, and recording accounts receivable data Requirements: • High School Diploma or GED required, Associate’s or Bachelor’s degree in health information management or related field preferred. • Proven work experience in healthcare AR, Billing or revenue cycle • Basic understanding of healthcare revenue cycle • Strong attention to detail and willingness to learn payer rules • Ability to follow structured processes and workflows • Experience with appeals and denials resolution Benefits: • Additional benefits and perks may also be available, depending on the position and employment terms. Apply tot his job Apply To this Job