** Accounts Receivable Representative **

Accounts Receivable Representative Remote

As our network of Ambulatory Surgery Centers (ASCs) continues to grow, we are seeking a dedicated and experienced Accounts Receivable Representative to join our talented and passionate care team.

ABOUT US Blue Cloud is the nation's largest pediatric Ambulatory Surgery Center (ASC) company, specializing in dental restorative and exodontia procedures for pediatric and special needs patients under general anesthesia. As a mission-driven organization, we are committed to providing safe, high-quality, and accessible care while helping reduce costs for families and payors. Blue Cloud's ASC-based model offers an exceptional working environment supported by a close-knit surgical team of Dentists, Anesthesiologists, Registered Nurses, Dental Assistants, and other dedicated healthcare professionals.

OUR VISION & VALUES At Blue Cloud, our vision is to be the leader in safety and quality for pediatric dental patients receiving care in a surgery center environment. Our core values guide the decisions of our talented team every day, shaping how we care for our patients, support their families, and work together toward achieving that vision.

ABOUT YOU You demonstrate a strong work ethic, a positive attitude, and a genuine commitment to delivering exceptional patient care. You thrive in a fast-paced, team-oriented environment and are dedicated to supporting a culture of collaboration, professionalism, and excellence. You value working alongside others to ensure every patient receives the highest quality care and service throughout their experience with the Surgery Center.

ESSENTIAL FUNCTIONS The Accounts Receivable Representative is responsible for managing and resolving outstanding insurance and patient account balances to support the organization's revenue cycle goals. This role works closely with insurance carriers, patients, healthcare providers, and internal teams to investigate billing issues, resolve claim denials and payment discrepancies, and ensure timely reimbursement. The Accounts Receivable Representative maintains accurate account documentation, research unpaid and underpaid claims, and follows established collection processes while providing exceptional customer service. Success in this position requires strong problem-solving abilities, attention to detail, knowledge of healthcare billing and reimbursement practices, and the ability to manage multiple priorities in a fast-paced remote environment while maintaining strict HIPAA compliance.

Manage the timely collection and follow-up of insurance and patient balances across all business lines. Ensure the efficient processing and resolution of outstanding accounts to support revenue cycle performance. Investigate, identify, and resolve billing discrepancies, claim denials, and payment issues. Contact insurance carriers to verify claim status, obtain payment updates, and facilitate the resolution of unpaid or underpaid claims. Maintain accurate documentation of collection activities, account notes, and payment resolutions. Collaborate with internal departments to ensure timely reimbursement and account accuracy. Provide professional and courteous communication with patients, insurance representatives, and healthcare providers regarding account inquiries and payment matters.

COMPETENCY Customer/Client Focus Stress Management/Composure Results Driven Technical Capacity Problem Solving/Analysis Teamwork Orientation Collaboration Skills Time Management Communication Proficiency

POSITION REQUIREMENTS High school diploma or equivalent required. Additional education or coursework in medical billing, coding, or healthcare administration. Experience using medical and/or dental billing software, electronic health records (EHR), and practice management systems. Minimum of three to five years of experience in a fast-paced medical, dental, or healthcare office environment. This is a remote position that allows employees to work from a dedicated home office while supporting patients, providers, and internal teams in a professional healthcare environment. Candidates must have a reliable internet connection, a distraction-free workspace, and the ability to maintain strict confidentiality of patient and company information in accordance with HIPAA and company policies.

PREFERRED Associate's or Bachelor's degree preferred; equivalent combination of education and relevant experience may be considered. Working knowledge of patient registration, charge entry, medical billing, collections, and healthcare reimbursement policies. Familiarity with Medicare, Medicaid, Blue Cross Blue Shield (BCBS), Workers' Compensation, Managed Care, and commercial insurance billing requirements and regulations. Strong organizational, analytical, and problem-solving skills with exceptional attention to detail. Ability to review and interpret patient statements, insurance claims, remittance advice, and Explanation of Benefits (EOBs). Skilled at identifying billing discrepancies, inaccurate information, and claim-related issues, and taking appropriate corrective action. Proficiency in researching and resolving account balances, denials, underpayments, and reimbursement concerns.

BENEFITS Comprehensive health insurance coverage, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), disability insurance, and a variety of voluntary benefit options. Competitive 401(k) retirement plan with company matching contributions. Generous Paid Time Off (PTO) program to support work-life balance. Fully remote and predictable schedule with no on-call responsibilities, no weekends, and no holiday shifts.

EQUAL EMPLOYMENT OPPORTUNITY Blue Cloud is an equal opportunity employer. Consistent with applicable federal, state, and local laws, we provide equal employment opportunities to all qualified applicants and employees without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable law. Blue Cloud is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants who require assistance or accommodation may request support during the application process.

Blue Cloud Pediatric Surgery Centers LLC