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Role Description

We’re seeking an Accounts Receivable Insurance Representative to review and process insurance claims, resolve discrepancies, and ensure timely payments. Your accuracy and problem-solving skills will improve our revenue cycle, while your clear, compassionate communication will support patients with their financial responsibilities.

• Claim Follow-Up: Investigate and resolve unpaid claims through payer websites or automated systems. Correct, reprocess, or appeal claims with clear documentation.
• Accounts Receivable (A/R): Work assigned reports on time and notify your supervisor if deadlines can’t be met.
• Productivity: Process at least 50 claims daily for Follow-Up/Denial roles or 30 claims daily for Medical Records roles, while maintaining accuracy and compliance.
• Coding Escalations: Flag claims that need coding corrections and send them to the coding team with detailed notes.
• Communication: Share timely updates with supervisors on claim status, payer responses, and account progress.
• Client Knowledge: Understand client specialties, locations, and A/R procedures to ensure accurate claim handling.
• Denial Trends: Track and report denial or payment reduction trends to management, including payer and dollar impact.
• Performance: Meet performance goals within 90 days of hire.
• Accuracy: Stay focused and detail-oriented to ensure high-quality claim resolution.

Qualifications

• Excellent communication skills including active listening.
• Service-oriented and able to resolve customer grievances.
• Proficient computer skills with the ability to learn new software.

Requirements

• Able to work at a computer for extended periods.
• Occasionally lift up to 15 lbs.

Benefits

• Work with a team that values faith, integrity, and compassion.
• Supportive, inclusive, and casual work environment.
• Training and development to help you grow.
• No weekends – enjoy work-life balance.
• Competitive benefits, paid time off, and 401k with match.