Medical Accounts Receivable Specialist

Medical Accounts Receivable Specialist

We are looking for a Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare organization in Mesa, Arizona. This is a Contract position focused on resolving outstanding insurance claims, improving reimbursement outcomes, and keeping account information accurate and up to date. The ideal candidate will bring strong experience in medical receivables, payer follow-up, and claims research while working effectively with internal teams and external insurance contacts.

Responsibilities:

• Build and maintain productive working relationships with payer representatives and customer service contacts for assigned insurance carriers.
• Update patient demographic and insurance details based on information received from patients, carriers, or verified online sources, and rebill impacted claims when needed.
• Investigate claim submission issues and prepare corrected claims when errors are identified in the original filing.
• Monitor clearinghouse activity, resolve rejected claims promptly, and take the necessary steps to resubmit them accurately.
• Prepare and submit appeals for improperly denied claims in accordance with payer-specific guidelines, involving coding support when documentation review is required.
• Research zero-payment claims, take corrective action within five business days, and determine whether adjustment, follow-up, or appeal is needed.
• Track the progress of appeals and corrected claim submissions, and re-engage carriers within four weeks to obtain status updates or next steps.
• Record all communication with insurance representatives and patients thoroughly within the appropriate account documentation.
• Use billing and receivables systems to manage account activity, support cash-related workflows, and help maintain accurate financial records.

Requirements Prior experience in medical accounts receivable, insurance follow-up, or healthcare billing is required.

Working knowledge of claim corrections, denial resolution, appeals processing, and clearinghouse reject management.

Ability to verify and update patient insurance and demographic information with a high level of accuracy.

Proficiency with healthcare and financial systems such as Epic, CRM platforms, ERP tools, or comparable accounting software.

Familiarity with accounts receivable processes, billing functions, cash activity, and payment posting environments.

Strong written and verbal communication skills for interacting with payers, patients, and internal support teams.

Excellent organization and time management skills with the ability to meet follow-up deadlines and manage multiple accounts efficiently.