Specialist, Accounts Receivable
New
Based in the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 3–5 years
- Required Skills
- Microsoft Excel
Requirements
- High school diploma or equivalent.
- 3–5 years of experience in hospital billing, collections, or revenue cycle follow-up roles.
- Strong understanding of the healthcare revenue cycle and payer reimbursement processes.
- Knowledge of medical terminology and coding systems such as ICD-10, CPT, and DRG.
- Ability to work independently in a remote, fast-paced, and goal-oriented environment.
- Strong analytical and critical thinking skills with high attention to detail and accuracy.
- Proficiency with Microsoft Excel at an intermediate level preferred.
- Excellent communication skills.
- Strong organizational skills and ability to manage multiple accounts and deadlines effectively.
- Experience in problem-solving, denial management, and claims resolution strategies.
Responsibilities
- Follow up on assigned accounts to resolve outstanding claims and secure payment from insurance payers.
- Analyze claim issues, identify root causes of denials or delays, and apply appropriate resolution strategies.
- Escalate unresolved claims to payer supervisors or management when standard follow-up efforts are unsuccessful.
- Document all account activity accurately using structured frameworks and internal workflow systems.
- Assign correct status and root cause codes to support reporting, trend analysis, and process improvement.
- Prepare and submit first- and second-level appeals to overturn claim denials and recover payments.
- Research incoming correspondence related to accounts and take appropriate action to resolve issues.
- Maintain productivity, quality standards, and compliance with client-specific requirements.
- May assist with underpayment recovery activities as assigned by management.
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