Insurance Accounts Receivable Specialist

Insurance Accounts Receivable Specialist

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart by delivering innovative software and services that drive clinical, financial, and operational success. Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

This is a fully remote position. This is an exciting opportunity to join a dynamic and growing Revenue Cycle Services (RCS) team that is actively expanding to support our continued successall in a fully remote environment. The AR Specialist plays an important role in supporting the financial outcomes of our clients by working insurance accounts receivable for Ambulatory Surgical Centers and Clinics, including follow-up, denial resolution, and appeal submissions. As we continue to add to our team, this remote position offers the chance to join a collaborative, forward-moving company where your contributions make a direct impact and your work is truly valued.

Essential duties/responsibilities:

• Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
• Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
• Research, prepare, submit, and track insurance appeals, including ongoing appeal follow-up
• Communicate effectively with insurance representatives to resolve claim issues and obtain payment
• Apply strong organizational and time-management skills to prioritize daily workloads and meet deadlines
• Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
• Work confidently with non-participating providers and payer guidelines
• Maintain a clear understanding of the insurance collection process and apply best practices consistently
• Identify issues and resolve problems independently, using sound judgment and attention to detail
• Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

Education desired:

High school graduate or GED certification

Specific knowledge & skills required:

• Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
• Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
• Proficiency with computers and Windows-based software systems
• Strong written and verbal communication skills with excellent command of the English language
• Ability to work cooperatively and professionally with teammates, patients, and external partners
• Customer-focused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
• Must have a minimum of 50Mbps internet download speed to effectively run SIS

Benefits:

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
• Vacation/Sick time
• 401(k) retirement plan with company match
• Paid Holidays
• SIS Cares Day

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply. At this time we are unable to sponsor H1B candidates.