Job Title: Medical Accounts Receivable Specialist

Job Type: Full-Time

Location : Hybrid, requiring 2 to 3 days in the office; Remote option available for candidates not in the local area. Must live in TX, TN, NC, SC, CO, NJ, OK, or AL.

SUMMARY: The Accounts Receivable (AR) Representative is responsible for timely and accurate insurance follow-up and claims denial management in accordance with Providence Anesthesiology Associates policies and procedures. The AR Representative analyzes denied claims to determine what corrections need to be made for the claims to process correctly. The position requires strong problem-solving skills, attention to detail, and a commitment to improving efficiencies within the AR Team.

Essential Duties and Responsibilities

Duties include but are not limited to:

• Performs the daily tasks related to AR Team aging, denial management, and credit balance reports to ensure accuracy and timeliness of AR resolution for multiple external clients.
• Identifies and corrects billing errors and resubmits claims to insurance carriers.
• Reports AR billing issues and discrepancies to the AR Supervisor and Team Leads and assists with resolution.
• Resolves reimbursement discrepancies by analyzing information and notifying AR Supervisor.
• Identifies billing requirements by researching and talking with payers via phone.
• Initiates appeals with commercial and government insurance payers.
• Demonstrates thorough understanding of insurance reimbursements and implementing procedures that ensure optimum collection in a manner compliant with Federal and State regulations.
• Identifies claims denial trends and reports them to the AR Supervisor.
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility.

Skills and Qualifications

To perform this job successfully an individual must be able to perform each essential duty to a satisfactory standard. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: High school diploma or equivalent is required. An associate degree is preferred.

Experience: Over one ( ) years of experience in healthcare/medical accounts receivable is required; medical billing is preferred.

License/Certification: Valid driver’s license required.

Language Skills: Demonstrated ability to exercise excellent oral and written communication skills.

Computer Skills: Experience with medical billing software systems is required. Strong Microsoft Excel skills are required. Proficiency in Microsoft Outlook, TEAMs, Word, and PowerPoint is also required.

Reasoning Ability: Ability to organize and manage personal workload. Ability to achieve and maintain strong working knowledge of anesthesia billing operation practices.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by any Employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Hybrid based position, requiring two to three days of being in the office, with standard working hours. While performing the duties of this job, the employee is regularly required to sit, stand, walk, use hands to finger, handle, or feel, reach with hands and arms, and talk or hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally be able to work in a standing position for long periods of time and up to the entire shift. Travel is primarily local during the day, although some out-of-area and overnight travel for conferences may be required. Air travel may also be required.

About Providence Anesthesiology Associates Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 100 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 150,000 patients annually.

Why work for PAA?

PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field.

Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces in 2021 - 2023, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.

What’s in it for you?

• Strong workplace culture. We care about each other as people. We build relationships and connections beyond the time spent on the job. We offer a supportive, highly team-oriented work environment.
• We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.
• We want you to succeed and our employer to employee relationship is proven to help you reach your goals and the goals of PAA.

What else should you know?

Providence Anesthesiology Associates is an equal opportunity employer and does not tolerate discrimination based on any protected status.

PAA participates in E-Verify. E-Verify is an internet-based system that compares the information you provide on the Form I-9 with information from the Social Security Administration and Department of Homeland Security records.