AR Research Representative

Job Summary

To maximize cash collections and minimize denials, the full-time AR Research & Resolution Representative will research and resolve claims remotely while managing worklists, conducting follow-ups, and identifying workflow improvements.

Key responsibilities:

• Research and resolve outstanding insurance or contract claims, maintaining performance targets and quality scores
• Conduct follow-ups with payers and internal partners through calls and web-based tools, escalating issues as necessary
• Contribute to team meetings and assist in the development of payer matrices and Standard Operating Procedures

Required qualifications:

• High school diploma or equivalent
• Knowledge of medical insurance and terminology
• Basic understanding of ICD-10 and CPT codes
• Experience in medical insurance or billing is preferred but not required
• Proficiency in using computers in a Windows environment, including word processing and spreadsheet data entry