As an Accounts Receivable Specialist, you will manage the end-to-end billing process for patient services, ensuring claims are submitted accurately and payments are received promptly. Your primary responsibility will be to review billing data for completeness and correctness, including patient demographics, insurance details, and medical coding, before submission to payers.
Key Responsibilities
- Review charges, diagnosis and procedure codes, and subscriber information to confirm accuracy prior to claim submission
- Submit claims in compliance with payer contracts, regulatory guidelines, and internal standards
- Contact insurance providers, patients, and healthcare staff to track claim status and resolve unpaid, unprocessed, or denied claims
- Respond to correspondence from payers and patients, taking action to clear balances and close accounts
- Verify and update insurance and patient information to support clean claim generation
- Reprocess claims with updated demographic or third-party data to facilitate payment
- Record all account changes in the system and monitor internal and external reports for claim status updates
Qualifications
Applicants must be at least 18 years old. A high school diploma or equivalent is preferred. Experience in healthcare billing or accounts receivable is beneficial but not required.
Work Environment
This is a remote position, allowing you to work from home while supporting a healthcare organization committed to compassion, excellence, and innovation. You will collaborate with teams across departments to maintain financial integrity and improve reimbursement outcomes.
Benefits
Support for your well-being includes access to health and wellness tools, mental health resources, and programs designed to reduce personal costs such as low or no-cost copays, premium sharing, and childcare assistance.
