Accounts Receivable Specialist 2

Accounts Receivable Specialist 2

This role offers the opportunity to support healthcare revenue operations by improving payment accuracy, resolving claims challenges, and ensuring efficient accounts receivable processes. You will work with insurance providers, internal teams, and healthcare systems to investigate outstanding balances and drive successful claim resolution. The position combines analytical problem-solving, healthcare billing expertise, and customer-focused communication. You will contribute to financial performance by identifying issues, managing denials, and helping optimize reimbursement processes. This opportunity is ideal for a detail-oriented professional who enjoys working independently while collaborating with a remote team. You will gain exposure to complex healthcare payment workflows while developing expertise in revenue cycle management.

Accountabilities:

As an Accounts Receivable Specialist, you will manage claim follow-up activities, investigate payment issues, and support accurate reimbursement processes. You will apply healthcare billing knowledge, maintain documentation standards, and collaborate with payers and internal stakeholders to resolve outstanding accounts.

• Verify eligibility and authorization information through payer websites, client systems, and direct communication with insurance providers.
• Update patient demographic and insurance details accurately within appropriate systems.
• Research unpaid, rejected, and denied claims to determine resolution strategies.
• Monitor claims for missing information, authorization details, and required control numbers.
• Review Explanation of Benefits (EOBs) to identify payments, adjustments, and opportunities for claim resolution.
• Contact insurance payers through phone and written communication to secure payments and manage reconsiderations or appeals.
• Access healthcare systems to review payment information, patient records, claims data, and related documentation.
• Follow established workflows, prioritization guidelines, timely filing requirements, and documentation procedures.
• Obtain and submit necessary medical documentation requested by insurance carriers.
• Maintain confidentiality of patient information in accordance with healthcare privacy standards and organizational policies.
• Support additional revenue cycle activities and operational tasks as needed.

Requirements:

The ideal candidate has experience in healthcare collections, claims resolution, and denial management, with strong knowledge of medical billing processes and payer requirements. You should be detail-oriented, organized, and comfortable working with healthcare data systems.

• 2–3 years of experience in medical collections, denials management, and appeals processes.
• Experience handling complex denials, including DRG downgrades, level of care, coding, and medical necessity issues.
• Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI coding standards.
• Strong understanding of third-party billing guidelines and reimbursement processes.
• Knowledge of healthcare claim forms, including UB-04 and CMS-1500.
• Experience working with commercial and government payer contracts.
• Intermediate proficiency with Microsoft Word and Excel.
• Experience using healthcare information systems such as EMR platforms, claim scrubbers, and patient accounting systems.
• Preferred experience with patient accounting systems such as EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, Allscripts, or Paragon.
• Knowledge of Medicare DDE claim systems and government healthcare regulations is a plus.
• Strong communication, organization, and problem-solving skills.

Benefits:

• Competitive compensation range of $19–$22 per hour, based on experience, skills, certifications, and location.
• Fully remote work opportunity available across the United States.
• Full-time employment with opportunities to develop expertise in healthcare revenue cycle operations.
• Opportunity to work on meaningful healthcare financial processes that support better patient and provider experiences.
• Exposure to complex claims, payer relationships, and healthcare billing systems.
• Collaborative remote work environment focused on service, teamwork, and professional growth.