AR Representative

Job Title

AR Insurance Representative

Location

Remote (TN, GA, AL, FL, NC, SC, KY)

Job Type

Full-Time

Department

CBO AR Insurance

Pay

$18.00

About MedSrv, LLC

As the healthcare industry continues to grow, so does the need for consistent, effective Revenue Cycle Management. At MedSrv, we believe it takes more than just technology and technical expertise to make a difference. It takes innovation, a willingness to adapt, and a passion to be the best. We are the difference in Revenue Cycle Management – guided by faith and committed to serving with integrity and compassion.

Position Summary

Develop foundational insurance accounts receivable knowledge while accurately and consistently resolving lower-risk, primarily rule-based accounts. This position supports cash collection by completing timely payer follow-up, correcting straightforward claim issues, and preventing avoidable rework.

Essential Duties and Responsibilities

Work assigned insurance accounts in accordance with established procedures, payer requirements, client guidelines, and applicable regulatory standards.

Review account history, claim status, remittance information, payer correspondence, and supporting documentation to determine the appropriate next action.

Contact payers and other appropriate parties to investigate unpaid or underpaid claims and document all activity accurately in the designated systems.

Complete assigned follow-up, corrections, reconsiderations, appeals, or escalation activities within required timeframes.

Maintain complete, accurate, and timely account notes and protect confidential patient and business information.

Meet established productivity, quality, attendance, and compliance expectations for the assigned tier and work queues.

Manage primarily low-aging accounts, generally within the 0–60-day range, with limited 61–90-day work when competency has been demonstrated and access is approved.

Work lower-dollar accounts within the thresholds established for the applicable client, business line, payer, or specialty.

Complete first- and second-touch payer follow-up and resolve basic no-response claim activity.

Research and correct focused denial categories appropriate to demonstrated competency, which may include missing information, eligibility or registration issues, coding modifiers, missing documentation or medical-record requests, duplicate claims, and selected authorization-related denials.

Follow established scripts, workflows, standard operating procedures, and queue instructions, requesting guidance when an account falls outside defined parameters.

Avoid working accounts that meet escalation or higher-tier criteria, including complex or final-level appeals, medical-necessity denials, takebacks, advanced aging, or excessive prior-touch thresholds.

Use bridge queues only when access is approved and comply with increased quality-review requirements.

Escalate account, payer, system, or process concerns in accordance with departmental procedures.

Participate in training, coaching, quality review, and other development activities.

Perform other related duties as assigned within the scope and complexity of the position.

Scope and Decision-Making

Works within established procedures and defined queue rules. Seeks guidance for non-routine issues and escalates accounts that exceed Tier 1 complexity, financial-risk, aging, denial, or prior-touch parameters.

Knowledge, Skills, and Abilities

Basic understanding of the healthcare revenue cycle, insurance claim lifecycle, and accounts receivable follow-up, or the ability to learn these concepts through training.

Ability to follow detailed procedures, interpret routine payer information, and make accurate rule-based decisions.

Accurate data entry, documentation, organization, and time-management skills.

Professional written and verbal communication skills and the ability to maintain confidentiality.

Ability to use standard office technology and learn applicable billing, payer, and workflow systems.

Education and Experience

High school diploma or GED required. Prior healthcare revenue-cycle, medical billing, insurance follow-up, customer service, or related experience is preferred but not required when the candidate demonstrates the ability to learn the work.

Performance Expectations

Consistently meets the productivity and quality standards established for the assigned tier, client, and work queue.

Demonstrates sustained competency in the work actually assigned and completes documentation accurately and on time.

Complies with company policies, departmental procedures, payer requirements, privacy standards, and applicable laws and regulations.

Tier movement is a promotion decision based on validated next-tier competency, sustained performance, business need, and leadership and quality review; it is not automatic based on tenure.

Work Environment and Physical Requirements

Work is generally performed in an office or approved remote-work environment using a computer, telephone, and standard office equipment. The employee must be able to remain in a stationary position and perform repetitive computer and keyboard work for extended periods, communicate effectively, and review detailed information. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Ready to make a difference in healthcare? Apply today and join MedSrv - where we guide by faith and serve with heart.