Accounts Receivable Specialist

Title
:
Accounts Receivable Specialist

Practice
:
Midwest Oral Maxillofacial & Implant Surgery

Location
:
Arnold, MO

Hours
:
Monday, Tuesday & Thursday, Friday 7:30 am – 4:00 pm. Half day Wednesday 7:30 am – 12:00 pm

The Accounts Receivable Specialist is responsible for managing the full cycle of accounts receivable processes to ensure accurate and timely collection of payments. This role oversees invoicing, reconciliation of accounts, payment posting, and resolution of billing discrepancies. The specialist communicates regularly with internal teams and external customers to address outstanding balances, verify account information, and support efficient cash‑flow operations. A strong attention to detail, excellent organizational skills, and the ability to work in a deadline‑driven environment are essential.

• Answer incoming phone calls and respond to insurance and patient balance inquiries in a professional and timely manner.
• Communicate with patients, insurance carriers, and internal team members to resolve billing issues and clarify account details.
• Write clear and accurate narratives when insurance carriers request additional information.

• Process insurance claim denials and resubmit claims with the necessary supporting documentation.
• Maintain timely resolution of all open claims reflected on the monthly aged trial balance report.
• Retrieve clearing house reports daily, identify rejected claims, and resubmit them as needed.
• Attach all required documentation—including X‑rays, narratives, and anesthesia records—prior to claim submission.
• Review subscriber and patient information for accuracy prior to claim submission.

• Monitor and manage the full accounts receivable cycle to ensure timely follow‑up on outstanding balances.
• Research and investigate reimbursement discrepancies, including out‑of‑network and contractual issues.
• Analyze accounts for recurring denial trends or underpayments and elevate findings to management.
• Post insurance and patient payments accurately, both manually and electronically.
• Reconcile daily, weekly, and monthly financial transactions, including payment batches and adjustments.
• Process patient refunds and generate monthly patient statements.

• Maintain accurate and organized documentation for all claims, payments, corrections, and correspondence.
• Ensure compliance with HIPAA and all applicable billing and insurance regulations.

• Support month‑end closing processes by assisting with AR reporting, aging review, and financial summaries.

• Collaborate with clinical and administrative teams to verify coding, documentation, and insurance details to reduce claim rejections.
• Participate in process improvement efforts to streamline workflows and enhance reimbursement efficiency.

• Perform other duties as assigned.

• High‑school diploma or GED required; associate or bachelor’s degree in accounting, finance, business administration, or a related field preferred.
• 1–3 years of experience in accounts receivable, medical billing, insurance claims processing, or a similar office/finance role.
• Experience working with insurance payers, claim submission processes, and reimbursement guidelines strongly preferred.
• Familiarity with electronic health records (EHR), practice management systems, or billing software.
• Dental or medical billing experience (if relevant) is a plus.

• Strong knowledge of accounts receivable practices, payment posting, aging reports, and denial management.
• Understanding of CPT, CDT, ICD‑10 codes, and insurance terminology (if medical/dental setting).
• Excellent attention to detail and accuracy in data entry and financial reconciliation.
• Strong analytical and problem‑solving skills, especially when reviewing discrepancies or denial trends.
• Ability to communicate professionally with patients, insurance representatives, and internal team members.
• Proficiency with Microsoft Office Suite, especially Excel, and comfort learning new software systems.
• Ability to…