Accounts Receivable Specialist I

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

📋 Description

• Evaluate, process, and resolve denied insurance claims in line with established Standard Operating Procedures (SOPs).

• Investigate payer requirements, policies, websites, and internal systems to pinpoint claim issues, gather accurate billing details, and establish appropriate next steps.

• Recognize denial trends and issues related to payers, and communicate findings to leadership and partner teams.

• Reach out to insurance companies, physicians, patients, and other stakeholders to gather necessary information and facilitate claim resolution.

• Oversee assigned Accounts Receivable (AR) inventory and ensure aged AR is handled according to SOPs and departmental guidelines.

• Keep precise account documentation and records while addressing inquiries and supporting claim resolution efforts.

• Work collaboratively with internal teams and external partners to guarantee timely and accurate account resolution.

• Achieve established production and quality metrics through effective organization, time management, attention to detail, and precise processing of denials.

• Assist in operational and departmental goals while adapting to evolving priorities.

⛳️ Requirements

• High school diploma or GED equivalent.

• Over 1 year of experience in accounts receivable, accounting, medical billing, healthcare revenue cycle, or a related field.

• Strong focus on detail and accuracy.

• Excellent verbal and written communication abilities.

• Proficient in Microsoft Office Suite, including Excel.

• Capable of working both independently and collaboratively.

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

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

• Comfortable working in a remote office setting with extended periods of sitting and computer use.

• Adaptable to changing payer requirements, business needs, and departmental priorities while upholding quality and productivity standards.

• Regular interaction with internal departments, insurance payers, healthcare providers, patients, and external business partners.

🏝️ Benefits

• Flexible schedules are available.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 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.