Accounts Receivable Specialist
New
Based in the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 7+ years
- Required Skills
- Microsoft ExcelGoogle WorkspaceHIPAA
Requirements
- High school diploma, GED, or equivalent practical experience.
- Minimum of 7+ years of experience in medical billing, accounts receivable, or insurance claims processing.
- Strong understanding of healthcare revenue cycle processes, payer rules, and claims workflows in a medical environment.
- Proficiency in Microsoft Office tools (Excel, Word, Outlook) and Google Workspace applications.
- Strong analytical skills with the ability to identify trends, evaluate account data, and resolve billing discrepancies.
- Excellent attention to detail, organizational skills, and ability to manage multiple priorities and deadlines.
- Strong communication skills with the ability to interact professionally with patients, payers, and internal teams.
- Knowledge of HIPAA compliance standards and healthcare data confidentiality requirements.
- Ability to work independently while maintaining strong collaboration within a team environment.
Responsibilities
- Prepare, submit, and re-submit clean insurance claims electronically or via paper in accordance with payer-specific guidelines and contractual requirements.
- Review and correct rejected or denied claims, ensuring completeness, accuracy, and successful second-pass submission.
- Perform insurance follow-up activities for primary and secondary payers, tracking claim status and resolving outstanding balances.
- Manage claim appeals by gathering required documentation and submitting accurate resubmissions to insurance carriers.
- Analyze patient accounts to identify delinquent balances and support timely collection of outstanding payments.
- Research and recommend account adjustments or write-offs based on insurance adjudication and collectability assessments.
- Generate patient statements, respond to billing inquiries, and route escalations to appropriate internal teams when needed.
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