Medical Billing Accounts Receivable Senior Associate

Job Description

Job Description

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Job Description

We are seeking a knowledgeable and detail-oriented Accounts Receivable Senior Associate to join our Revenue Cycle Management team. This role requires experience in the healthcare industry, a strong understanding of the insurance payer mix, and familiarity with the full claims lifecycle.

Roles & Responsibilities
•    Lead all aspects of insurance follow-up and collections, including complex account resolution, payer communications, and utilization of payer portals and systems to ensure accounts are progressing appropriately.
•    Manage a high volume portfolio of high-complexity and high-value accounts, requiring advanced research, critical thinking, and problem resolution, under minimal guidance.
•    Analyze and identify root causes of denials; develop strategies to reduce denial trends and improve overall reimbursement.
•    Effectively resolve complex issues, including payment discrepancies, recoupments, and aged accounts.
•    Monitor A/R performance metrics and proactively identify trends within accounts, risks, and opportunities for process improvement.
•    Collaborate with management to escalate systemic payer or operational issues and recommend actionable solutions.
•    Ensure compliance with payer regulations, company policies, and applicable healthcare laws.
•    Partner cross-functionally with internal teams and external stakeholders to optimize revenue cycle performance.

Experience & Requirements
•    High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
•    Minimum of 7 years of experience in physician collections, A/R follow-up, and denial management.
•    Advanced knowledge of CPT and ICD-10 coding, billing guidelines, and payer requirements.
•    Demonstrated experience handling complex and escalated accounts and appeals.
•    Strong analytical skills with the ability to interpret data, identify trends, and implement solutions.
•    Advanced proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred.
•    Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment.
•    Prior experience serving as a team resource, mentor, or informal leader is highly preferred.

Additional Qualifications
•    In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times.
•    Exceptional attention to detail and organizational skills.
•    Ability to work independently while contributing to a team-oriented environment.
•    Demonstrated problem-solving skills with a proactive and solution-driven approach.

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.