Accounts Receivable Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee a designated portfolio of insurance accounts receivable, managing the process from claim submission to final resolution.

• Follow up with payers regarding outstanding claims, underpayments, and discrepancies in payments.

• Investigate and address claim denials and rejections through corrected claims, appeals, and reconsiderations.

• Review claim edits and rejections while collaborating with the RCM team to identify root causes.

• Post and reconcile insurance payments, adjustments, remittances, and any unapplied cash.

• Research overpayments and underpayments based on contracted reimbursement rates.

• Monitor and report on AR aging, denial trends, and the accuracy of payment postings for the weekly RCM flash report.

• Address patient inquiries regarding claims, balances, and billing, escalating payer or system issues as necessary.

• Identify recurring reimbursement or process challenges and propose solutions.

• Work in partnership with operations, finance, clinical, and product teams.

⛳️ Requirements

• A minimum of 3 years of experience in healthcare revenue cycle, specifically in accounts receivable, payment posting, or insurance billing.

• Proficient understanding of medical billing, insurance claims processing, and payer reimbursement practices.

• Proven experience in resolving claim denials, underpayments, and discrepancies in payments.

• Familiarity with posting payments and reconciling ERAs, EOBs, deposits, and unapplied cash.

• Ability to work remotely and independently manage priorities and queues.

• Exceptional attention to detail and strong organizational capabilities.

• Proficient in asynchronous communication via Slack and email, with participation in virtual meetings.

• Capability to function effectively in a fast-paced team setting.

• Possession of a valid driver's license and REAL ID.

• Must be authorized to work full-time in the United States.

• Preferred: Experience in startup, high-growth healthcare, or telehealth environments.

• Preferred: Familiarity with Candid, Availity, or similar claims and payer-connectivity platforms.

• Preferred: Experience in women's health, maternal health, or lactation coding.

• Preferred: CRCR, CPB, CPC, or other healthcare revenue cycle certifications.

🏝️ Benefits

• Unlimited PTO plus company holidays.

• Eligibility for 401(k).

• Remote-first work with flexible scheduling.

• Eligibility for bonuses.