ACCOUNTS RECEIVABLE (AR) FOLLOW-UP REPRESENTATIVE

Department: Revenue Cycle Management / AR

Job Summary:
The Accounts Receivable (AR) Follow-Up Representative is responsible for monitoring, analyzing, and resolving outstanding accounts receivable balances to ensure timely reimbursement and accurate financial reporting. This role plays a key part in maintaining the financial health of the organization by managing claim denials, following up on unpaid accounts, and ensuring compliance with internal and external billing standards. The AR Follow-Up Representative will also support special projects and collaborate with cross-functional teams to optimize billing and collection processes.
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Essential Duties and Responsibilities:

• Conduct monthly quality control (QC) reviews of credit balance reports for all clients and ensure timely and accurate distribution.
• Manage and follow up on bad debt accounts, including initiating and maintaining direct communication with patients via phone and email to resolve outstanding balances.
• Accurately status denied claims and perform detailed follow-up on accounts receivable aged 60–180 days to ensure timely resolution.
• Respond to offshore team daily requests on claims, rejections and problem accounts to ensure timely turn-around and resolution.
• Review and reconcile daily claim exception reports; research and resolve held statement reports for all assigned clients.
• Coordinate and complete provider approval processes each Friday to facilitate claim rebilling and ensure compliance with client requirements.
• Maintain and update spreadsheets with collection agency information on a weekly basis, ensuring data accuracy and transparency.
• Participate in special projects as assigned, supporting broader department objectives and client initiatives.
• Perform additional duties and responsibilities as assigned by management to support departmental goals.

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Qualifications and Requirements:

• High school diploma or equivalent required, associate degree or higher preferred.
• Minimum of 2 years of experience in medical billing, accounts receivable follow-up, or healthcare revenue cycle management.
• Working knowledge of claim submission, denial management, and payer follow-up processes.
• Proficiency in practice management systems, electronic health record (EHR) platforms, and Microsoft Excel.
• Strong analytical, organizational, and time-management skills with the ability to manage multiple priorities effectively.
• Excellent verbal and written communication skills; professional and patient-focused demeanor in all interactions.
• Detail-oriented with a commitment to accuracy and compliance in all aspects of billing and collections.

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Work Environment:

• Full-time position in an office or hybrid remote setting. Remote TBD
• Standard work hours Monday through Friday, 8A – 5 P