*Overview*
We are seeking a detail-oriented and organized Accounts Receivable Representative to join our Revenue Cycle Services team. The ideal candidate will be responsible for managing accounts receivable through accurate, efficient collections and auditing. This role emphasizes thorough review and correction of billing accounts, appeals, and trend monitoring to optimize revenue collection processes.

*Key Responsibilities:*
* *Claims Management*: Conduct detailed account reviews, including coding, modifiers, accurate registration of payer product, expected allowance, EOBs (Explanation of Benefits), and posted payment transactions. Make necessary adjustments or corrections to resubmit or appeal claims, working collaboratively with other departments when needed.
* *Account Auditing*: Monitor aged accounts, initiate timely follow-up, and prepare appeals as needed to ensure accurate and complete reimbursement.
* *Error Resolution*: Identify errors in electronic payer reports and take corrective actions to streamline claims processing and avoid recurring issues.
* *Customer Service*: Respond to inquiries from third parties about billing issues while ensuring confidentiality and compliance with HIPAA standards.
* *Trend Monitoring*: Analyze and report patterns in claim rejections and denial reasons, providing insights to improve collection processes and identify areas needing adjustment.

*Qualifications:*
* *Education*: High school diploma (required); associate degree (preferred).
* *Experience*: 2-4 years in healthcare revenue cycle, including experience with patient account resolution and strong insurance collections.
* *Skills*: Proficiency in MS Word and Excel, excellent communication and organizational skills, and high accuracy in a moderately supervised setting.

This role is suited for detail-oriented professionals with a strong foundation in healthcare collections and an ability to work independently to improve revenue management efficiency.

Job Type: Full-time

Pay: $21.00 - $27.00 per hour

Expected hours: 40 per week

Schedule:
* 8 hour shift



Location:
* Raleigh-Durham, NC (Required)


Work Location: Remote