Accounts Receivable Representative - McKinney, TX

Position Title: Accounts Receivable Representative Department: Accounts Receivable Reports to: Accounts Receivable Team Lead FLSA: Non-Exempt Position Summary The Accounts Receivable Representative is responsible for managing traditional accounts receivable workflows by following up on outstanding claims with payers and providers. This includes contacting payers regarding denials, underpayments, and unresolved claims, and taking necessary actions to dispute or escalate when appropriate. The AR Representative ensures claims are processed accurately, documentation is maintained, and issues are resolved in a timely manner to support overall revenue cycle efficiency. Essential Duties & Responsibilities

• Contact payers and providers regarding outstanding claims to obtain payment or resolve issues.
• Follow up on denials, underpayments, and appeals as directed by audit results or leadership.
• Take necessary actions to further dispute claims when appropriate, in alignment with payer guidelines.
• Review patient accounts to ensure all required information has been submitted.
• Maintain accurate and complete claim documentation in the electronic health record (EHR).
• Identify and report payer denial, payment, recoupment, and out-of-network trends to leadership.
• Document detailed follow-up notes and maintain required daily/weekly/monthly tracking spreadsheets.
• Respond to and escalate additional documentation requests (ADR), audits, and post- payment reviews.
• Meet established performance metrics for productivity, quality, and timeliness.
• Perform additional duties as assigned.