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.
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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.
