Accounts Receivables Specialist

Accounts Receivables Specialist - Billing Department

The Accounts Receivable (AR) Specialist supports the financial operations of our high-volume group by managing insurance and patient receivables. This role focuses on timely claim follow-up, payment posting, and collections, ensuring the practice maintains a healthy cash flow. The ideal candidate will have strong knowledge of medical billing processes and hands-on experience using Intergy Practice Management and EPIC EHR systems.

Essential Functions/Responsibilities:

• Monitor, review, and follow up on outstanding insurance and patient account balances
• Process and post insurance and patient payments accurately within Intergy Practice Management system
• Utilize EPIC EHR to review patient charts and ensure proper documentation supports billing
• Resolve denied or underpaid claims by conducting appeals, adjustments, and resubmissions
• Prepare and submit written or electronic appeals with appropriate documentation and follow-up
• Maintain thorough and up-to-date records of all appeals and communications with payers
• Communicate with insurance carriers for claim status, eligibility, and payment discrepancies
• Communicate with insurance carriers to resolve underpaid, denied, or delayed claims
• Generate and analyze AR aging reports to identify priority accounts and escalate issues when necessary
• Analyze denial codes and EOBs to determine root causes and implement corrective action
• Collaborate with billing and coding teams to ensure accurate CPT/ICD10 coding and clean claim submission
• Respond to patient inquiries regarding billing, balances, and payment options professionally and accurately
• Reconcile payments with Explanation of Benefits (EOBs) and electronic remittance advice (ERA)
• Track outstanding accounts, review aging reports, and resolve billing discrepancies
• Call and email customers to secure payments and arrange workable payment plans
• Match incoming payments to invoices and create reports for management on the status of unpaid accounts
• Assist clients with disputes, hardship requests, and questions regarding their payments
• Process credit card payments from patients who call the office, and provide receipts and confirmation as needed. Maintain detailed and accurate documentation of collection activities in patient accounts
• Stay informed about payer policy updates, coding changes, and cardiology-specific billing requirements
• Follow HIPAA guidelines to maintain patient confidentiality and privacy

Qualifications:

• High school diploma or equivalent (required); Associate degree in Accounting, Healthcare Administration, or related field (preferred)
• Minimum 2 years of AR or medical billing experience in a specialty or cardiology practice
• Proficiency with Intergy Practice Management software (Greenway)
• Experience using EPIC EHR for clinical and billing review
• Solid understanding of insurance billing, denial management, and reimbursement procedures
• Knowledge of Medicare, Medicaid, and commercial payer guidelines
• Familiarity with medical terminology, especially in cardiology
• Excellent organizational, communication, and problem-solving skills
• Ability to manage multiple tasks and prioritize in a fast-paced environment
• Demonstrate ability to maintain high level of productivity, time management, organization, attention to detail, documentation skills and ability to resolve conflict in the work place.
• Able to make decisions using discretion and independent judgment.
• Able to prioritize and manage time to meet deadlines and time constraints.
• Pass a criminal background check

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid sick time
• Paid time off

Work Location: In person

Compensation / Pay Rate (Up to): $22.00 - $26.00