Insurance Accounts Receivable Representative

Job Description

Job Description

Description:

We are looking for a full-time Insurance Accounts Receivable Representative to join our top notch team of professionals!

Hours will be Monday-Friday 8 am - 5 pm, with rotating Saturdays

Overview:
We are seeking an experienced Insurance AR Representative with a solid understanding of payer guidelines, denial management, and appeals processes. The ideal candidate will be proficient in working claims in Athenahealth (Athena) , comfortable interpreting Explanation of Benefits (EOBs) , and capable of resolving insurance claim denials efficiently and accurately.

Job Duties:

• Follow up on outstanding insurance claims to ensure timely payment.
• Review and analyze EOBs to identify underpayments, denials, or discrepancies.
• Prepare and submit effective appeals for denied or incorrectly paid claims.
• Maintain current knowledge of payer policies, guidelines, and billing requirements.
• Collaborate with internal teams to resolve coding or billing errors.
• Document all follow-up activity and payer communications accurately in the system.
• Monitor aging reports and prioritize high-dollar and time-sensitive claims.

Job Qualifications:

• 2+ years of experience in insurance AR, billing, or claims follow-up in a medical practice or healthcare setting.
• Proven experience in appealing denied claims is required.
• Strong understanding of payer-specific rules, policies, and reimbursement guidelines.
• Athenahealth system experience strongly preferred.
• Ability to read and interpret EOBs and remittance advice.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational skills.
• Ability to work independently and manage a high-volume workload.