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Accounts Receivable Representative - Medical - NOT REMOTE



The Accounts Receivable Representative is responsible for managing the insurance billing cycle process, for direct contact to the insurance companies and for following up on outstanding claims. Appeals denied claims and accesses databases to obtain eligibility information and claims status. The Accounts Receivable Representative may bill for assigned financial classes, assist with various reports, and provide other updates as assigned.


  • Contacts insurance companies to verify claim status.
  • Receives insurance calls concerning patient claims, reconciles any problems that may arise and collects on claims for services.
  • Researches all account inquires, pulls EOBs and follows-through with insurance companies.
  • Regarding ‘denials’ -- pulls EOBs to make sure the denial is correct, contacts the insurance company to verify, checks with patient to determine if they have different insurance and makes any necessary corrections.
  • Researches any insurance refund denial checks being returned. Ensure proper posting of refund checks.
  • Researches any missing payments or refunds. Accordingly, researches patient accounts for proper payment resolution.
  • Researches refund requests, corrects the claim and processes a refund if appropriate.
  • Resolves incorrect claim status to include “filed”, “hold”, “rejected” and “in progress” accounts.
  • Appeals timely filing claims and any insurance decision that is deemed incorrect or not timely.
  • Works all assigned insurance classes and keeps them current.
  • Tracks requested documents from insurance companies.
  • Presents outstanding high dollar claims at monthly AR meeting.
  • Completes special projects as assigned.
  • Files insurance documents after completion of task.
  • Rebills claims (primary and secondary) that insurance carriers state they have not received.
  • Maintains computer database and fee schedules for insurances and maintain cheat sheets for all insurances and services.
  • Tracks insurance changes and inform staff in a timely manner.
  • Performs other duties as assigned.
  • Works collaboratively in a fast-paced environment.

Supervisory Responsibilities: None



  • High school diploma or equivalent.


  • At least one year of Medical Accounts receivable experience preferred.

Knowledge, Skills and Abilities: No

This Job Is Ideal for Someone Who Is:

  • Thorough understanding of collection practices in a medical environment.
  • Excellent people skills and impeccable organization skills.
  • Resolving conflicts and remaining calm and composed in stressful situations, offering good listening skills.
  • Exercising a high degree of initiative, judgment, discretion, and decision-making to achieve clinic’s mission.
  • Researching, identifying, and resolving problems with patient accounts.
  • Establishing and maintaining effective relationships with patients and family members, insurance company representatives and fellow employees.
  • Multi-tasking while also being highly detail oriented.
  • Dealing with frequent interruptions.
  • Multi-suite computer skills.
  • Strong math and analytical skills.
  • Strong written and verbal skills.
  • Knowledge of HIPAA laws pertaining to the medical office environment
  • Effectively presenting information in one-on-one and small group situations to patients, physicians, insurance representatives and other employees of the organization.
  • Reading and comprehending instructions, correspondence, and memos.
  • Skills in writing professional correspondence.
  • Adding, subtracting, multiplying, and dividing in all units of measure, using whole numbers, common fractions, and decimals.
  • 10-key skills are helpful.
  • Demonstrates integrity, credibility, and a commitment to DAC’s mission.

Work Remotely: No

Job Type: Full-time

Salary: $19.00 - $25.00 per hour

Expected hours: 40 Per Weeks


  • 401(k)
  • Dental insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Paid time off
  • Vision insurance


  • 8 hour shift

Work setting::

  • Office
  • Private Practice


  • High school or equivalent (Preferred)


  • Microsoft Excel: 1 year (Preferred)
  • Accounts receivable: 1 year (Preferred)

Work Location: In person