Job Description

Essential Duties and Responsibilities:
The Accounts Receivable Representative II is responsible for tenacious follow-up of accounts receivables.  Utilizing work files, reports, online and telephone communications. Responsible for writing appeals and adjustment requests. Works independently and have a strong understanding of the job duties and responsibilities.

  • Communicate effectively with insurance carriers, staff members and management.
  • Daily average - process collections of 50 invoices per day
  • Must have the ability to appropriately document the system so that all staff can understand and it can be used as legal documentation if necessary.
  • Identify when errors are occurring in registration, billing and follow-up.
  • Identify denial trends.
  • Efficiently and effectively navigate IDX, EPIC, ETM and online payer websites.
  • Maintain client and patient confidentiality.
  • Denial management - work insurance denials and take necessary action to send corrected claim to payer.
  • Telephone calls - must know the appropriate information required by payers as well as appropriate questions to ask.
  • Write appeal letters and attach appropriate documentation to get the claim paid.
  • Review/work invoices on denial and aging reports.
  • Perform related duties as assigned by supervisor.
  • Maintain compliance with all company policies and procedures.    


  • 2 + years medical collections experience preferred
  • Prior experience with IDX/EPIC preferred.


  • High school diploma or equivalent
  • Billing and Coding certification preferred


  • Highly skilled in knowledge of medical collections practices and job expectations.
  • Knowledge working with commercial insurance, self-pay, Medicare, Medicaid, AHCCCS
  • Health insurance knowledge with regards to billing requirements, timely filing requirements and appeals process.
  • Knowledge of payer specifics.
  • Knowledge of business office procedures.
  • Understanding/compliance of HIPAA laws and regulations.
  • Able to differentiate between primary and secondary insurance payers.
  • Computer proficiency (MS Office – Word, Excel and Outlook)
  • Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
  • Ability to read, understand and follow oral and written instructions.
  • Must be well organized and detail-oriented.
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
  • Able to work in a team environment.
  • Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners and shredders.
  • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
  • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
  • Ability to type __35__wpm

Physical Requirements:

  • Must be able to talk, listen and speak clearly on telephone
  • Requires sitting and standing associated with a normal office environment.
  • Manual dexterity needed for using a calculator and computer keyboard.
  • Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.


Environmental Working Conditions:

  • Normal office environment.
  • The noise level of the work environment is usually moderate.
  • Occasional overtime maybe required and/or hours may be shortened as business needs dictate.


*The job holder must demonstrate current competencies applicable to the position.