Medical Accounts Receivable Specialist

Job Description

Job Description

We are looking for a Medical Accounts Receivable Specialist to support revenue cycle operations for a Contract position based in Dallas, Texas. In this role, you will help drive timely reimbursement by overseeing medical billing activity, researching claim issues, and working outstanding balances to resolution. The ideal candidate brings strong experience with payer follow-up, denials, and payment reconciliation across government and commercial plans. This opportunity is well suited for someone who can work independently, stay organized in a fast-paced setting, and maintain accuracy while meeting billing and collections goals.

Responsibilities:
• Manage the full accounts receivable cycle by reviewing unpaid claims, pursuing follow-up with insurance carriers, and taking appropriate action to secure payment.
• Prepare and submit clean claims accurately and on time while monitoring billing activity to reduce delays, rejections, and unresolved balances.
• Post payments, adjustments, and remittance details with precision, ensuring cash activity is recorded correctly and account records remain current.
• Investigate denied, underpaid, and unprocessed claims, identify root causes, and complete appeals or corrective actions to improve reimbursement outcomes.
• Communicate with Medicare, Medicaid, managed care organizations, and commercial payers to verify claim status, clarify discrepancies, and resolve outstanding issues.
• Support collection efforts by following up on aged receivables, documenting account actions, and escalating complex items when additional review is needed.
• Review payer guidelines, regulatory requirements, and internal policies to maintain compliant billing and follow-up practices.
• Collaborate with internal teams to address coding, eligibility, authorization, or credentialing-related concerns that may affect claim payment.
• Contribute to reporting and account analysis by tracking trends in denials, payment variances, and receivable aging to support process improvement.• At least 3 years of experience in healthcare billing, accounts receivable follow-up, or revenue cycle operations.
• Working knowledge of Medicare, Medicaid, Medicare Advantage, and commercial insurance billing and reimbursement practices.
• Demonstrated ability to resolve denied, unpaid, and underpaid claims through research, payer communication, and appeals.
• Experience with payment posting, cash applications, collections, and account reconciliation in a medical billing environment.
• Familiarity with CMS guidelines, Medicaid eligibility review, and payer-specific rules affecting claim processing.
• Strong attention to detail, sound organizational skills, and the ability to manage a high volume of account activity efficiently.
• Behavioral health or outpatient billing experience is preferred.
• Experience with Netsmart or credentialing processes is a plus.