AccountsReceivableSpecialist

## Accountabilities 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. Requirements: High school diploma, GED, or equivalent practical experience required. 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. Benefits: Fully remote work within eligible U.S. states. Competitive healthcare benefits including medical, dental, and vision coverage. Paid time off, paid ho