Accounts Receivable Specialist I

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Review, process, and resolve denied insurance claims in accordance with established standard operating procedures (SOPs).

• Investigate payer requirements, policies, websites, and internal systems to identify claim discrepancies and determine subsequent actions.

• Recognize denial patterns and payer-related concerns, and relay findings to leadership and collaborating teams.

• Communicate with insurance providers, physicians, patients, and other stakeholders to gather information and facilitate the resolution of claims.

• Oversee assigned Accounts Receivable inventory and manage aged accounts receivable following SOPs and departmental guidelines.

• Ensure accurate account documentation and record-keeping.

• Address inquiries and assist in efforts to resolve claims.

• Work in conjunction with internal teams and external partners for timely and precise account resolution.

• Achieve production and quality targets through organized and accurate denial processing.

• Support operational and departmental goals while being adaptable to changing priorities.

⛳️ Requirements

• High school diploma or equivalent GED.

• A minimum of 1 year of experience in accounts receivable, accounting, medical billing, healthcare revenue cycle, or a related area.

• Strong attention to detail and a commitment to accuracy.

• Excellent verbal and written communication abilities.

• Proficient in Microsoft Office Suite, including Excel.

• Capability to work both independently and as part of a team.

• Strong organizational, time management, analytical, and problem-solving skills.

• Ability to maintain confidentiality and manage sensitive financial and patient information.

• Capacity to work in a remote office setting with extended periods of sitting and computer usage.

• Flexibility to adapt to changing payer requirements, business needs, and departmental priorities.

• An Associate's degree in Accounting, Finance, Healthcare Administration, or a related discipline is preferred.

• Experience in customer service, call center, or healthcare support roles is preferred.

• Background in insurance denial management or Revenue Cycle Management is preferred.

• Familiarity with LCBS, LCLS, and Mobius View is preferred.

🏝️ Benefits

• Flexible schedules are also available.

• Medical.

• Dental.

• Vision.

• Life insurance.

• Short-Term Disability (STD) / Long-Term Disability (LTD).

• 401(k).

• Paid Time Off (PTO) or Flexible Time Off (FTO).

• Tuition Reimbursement.

• Employee Stock Purchase Plan.