Accounts Receivable Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Accounts Receivable Specialist assisting with insurance claims resolution for medical payments. Contacting insurance carriers for follow-up and maintaining accurate account aging to ensure compliance.
Responsibilities:
- Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes.
- Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up.
- Keep educated on billing and medical policies for all payers.
- Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
- Create and follow up on appeals needed to protest denials or incorrect payments.
- Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary.
- Work across all RCM departments to get issues related to claims payment resolved.
- Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.
- Work with AR Supervisor to review/resolve open accounts as assigned.
- Perform other duties as assigned.
Requirements:
- High School Diploma or GED
- 3 years of experience managing Accounts Receivable and performing direct follow up with payers.
- 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications.
- 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements.
- 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records.
- 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures.
- 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.
Benefits:
- Medical benefits
Similar Jobs
Accounts Receivable Specialist
Managing end-to-end accounts receivable operations at Spellbook, a tech startup simplifying workflows for transactional lawyers. Ensuring timely invoicing, collections, and cash application with high accuracy.
Accounts Receivable Analyst
Accounts Receivable Analyst at J.S. Held handling collections and managing accounts for a global consulting firm. Collaboration with teams across regions while ensuring effective collection of outstanding receivables.
Accounts Receivable Specialist 1
Accounts Receivable Specialist managing high volume of AR transactions for Labcorp. Ensuring timely processing of remittance and communication with leadership.
Accounts Receivable Specialist
Accounts Receivable Specialist managing incoming payments and financial transactions for Avanath, a property management company focusing on affordable housing. Ensuring accurate bookkeeping and adherence to industry regulations.
RCM – Accounts Receivable
AR Associate ensuring timely and accurate reimbursement for aged accounts at Upstream Rehabilitation. Managing unpaid accounts while supporting the company's mission of empowering lives.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate role for Vert Environmental managing collections and maintaining client relationships. Ensuring timely payment collection while providing excellent customer service in a remote setup.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate collecting overdue payments remotely at Vert Environmental. Collaborating with clients and internal teams to ensure timely collections and resolve discrepancies.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental managing outstanding customer balances and ensuring timely collections. Collaborating with clients and internal teams to resolve billing issues and maintain cash flow.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental handling customer payment collections. Managing outstanding balances and fostering relationships with clients in a remote setting.
Accounts Receivable Collections Associate
Accounts Receivable Collections Associate at Vert Environmental managing collections and maintaining cash flow through customer communication. Engage with clients for timely payment resolution and collaboration with internal teams.
Senior Manager, Global Accounts Receivable
Senior Manager overseeing global accounts receivable activities at Integer Holdings Corporation with focus on collections, credit, cash applications and billing processes.
Contract Accounts Receivable Associate
Contract AR Analyst responsible for improving AR metrics in a video commerce company. Collaborating with internal teams to resolve customer concerns on billing and contracts.
Team Lead, Accounts Receivable
Team Lead for Accounts Receivable in a healthtech startup utilizing AI to improve patient care. Overseeing invoicing, collections, and building an AR team in the Philippines.
Accounts Receivable Specialist
Accounts Receivable Specialist at Corporate Stays managing billing processes and client account management. Responsible for accurate records and reconciliations in a remote setting.
Accounts Receivable Specialist
Accounts Receivable Specialist at Corporate Stays responsible for billing and collections. Managing payment processes and account reconciliations for clients in Paraguay.
Senior Accounts Receivable Specialist
Senior Accounts Receivable Specialist ensuring accurate financial records for CVS Health. Responsible for managing invoices, deposits, and audits in a remote finance environment.
AR Administrator
AR Administrator preparing and maintaining billing data for hospitality SaaS company. Responsible for payment collection and customer communications related to billing.
AR Operations Manager
AR Operations Manager at Uplinq managing a structured invoice-to-cash system for small business owners. Leading collections execution and improving cash predictability while utilizing AI-powered automation.
Accounts Receivable Specialist
Accounts Receivable Specialist responsible for end-to-end A/R management and claim resolutions. Working remotely to improve billing processes and enhance reimbursements.
Accounts Receivable Coordinator
Accounts Receivable Coordinator at GBTA monitoring invoices and managing accounting processes. Collaborating in a fully remote environment with a focus on financial accuracy and customer service.