Medical Insurance Accounts Receivable Collections Specialist

Medical Insurance Accounts Receivable Collections Specialist

Olympic Sports & Spine (OSS) is seeking an experienced Medical Accounts Receivable (AR) Specialist to join our growing revenue cycle team in Tacoma. This is an excellent opportunity for a billing professional who enjoys resolving insurance claims, researching denials, managing appeals, and driving timely reimbursement.

If you have a strong background in medical billing, insurance follow-up, claims resolution, and accounts receivable management, we want to hear from you. Join a collaborative healthcare organization that values teamwork, professional growth, and work-life balance with a consistent Monday-Friday schedule and no weekends.

Position Summary

The Medical Accounts Receivable (AR) Specialist performs insurance follow-up and collections activities to ensure claims are processed accurately and reimbursed in a timely manner. This position works closely with insurance carriers, patients, and internal departments to resolve account issues, manage appeals, research denials, and maintain accurate account documentation.

Ideal candidates bring experience in patient accounting, medical billing, insurance follow-up, collections, payment posting, and credit balance resolution.

Key Responsibilities

• Review patient financial information to verify compliance with payer requirements and correct financial coding.
• Audit claim forms for accuracy and completeness; submit claims through payer portals or direct-entry systems.
• Enter allowances and adjustments based on payer guidelines and department procedures.
• Access payer systems to obtain eligibility, claim status, and processing details.
• Respond to inquiries from patients, payers, agencies, and internal departments.
• Analyze unpaid claims to determine appropriate follow-up action and ensure timely reimbursement.
• Review contract reimbursements for accuracy.
• Contact patients and payers by phone to resolve outstanding account balances.
• Correct account errors and document all actions.
• Prepare written correspondence regarding account concerns.
• Evaluate delinquent accounts and determine the best next steps in accordance with department guidelines.
• Assess patient financial information and recommend payment plans when appropriate.
• Prepare accounts for placement with collection agencies when internal efforts are exhausted.
• Process accounts involving returned mail, bankruptcies, or deceased patients per procedures.
• Post and balance daily remittances; apply allowances and adjustments.
• Resolve credit balances through adjustments or refunds to patients or payers.
• Participate in required educational activities and monthly staff meetings.
• Perform other related duties as assigned.

What Were Looking For

Required Skills & Experience

• Extensive experience in medical insurance billing and insurance follow-up.
• Strong understanding of medical claims processing, denials management, and reimbursement practices.
• Experience researching unpaid or underpaid claims and identifying appropriate resolution strategies.
• Strong analytical and problem-solving skills.
• Excellent interpersonal, written, and verbal communication skills.
• Professional and persuasive customer service abilities.
• Ability to work independently while managing multiple priorities and deadlines.
• Commitment to patient confidentiality and HIPAA compliance.
• Ability to represent OSS professionally at all times.

Preferred Experience

• Healthcare accounts receivable and collections experience.
• Experience with payment posting and credit balance resolution.
• Knowledge of commercial insurance, Medicare, Medicaid, and managed care payer processes.

Benefits

• 401(k) with employer match
• Medical, dental, and vision insurance
• Advancement opportunities
• Company-wide celebrations and events

Schedule & Location

Schedule: Monday-Friday, 8:00 a.m. to 5:00 p.m.

Location: 100% on-site at our centralized Tacoma billing office

Equal Opportunity Employer

We value diversity and are committed to creating an inclusive environment. OSS does not discriminate based on race, color, religion, national origin, gender, gender identity or expression, sexual orientation, age, disability (visible or invisible), veteran status, genetic information, marital status, or any other protected characteristic.

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