Accounts Receivable Specialist

The Collections Specialist is responsible for managing patient accounts receivable, insurance follow-up, collections activities, and payment arrangements while maintaining a high level of customer service and compliance. This role works closely with patients, insurance carriers, collection agencies, and facility leadership to ensure timely payment resolution and accurate account management.

• Manage outstanding patient accounts by establishing payment arrangements, monitoring payment activity, and following up on missed or delinquent payments.
• Maintain and monitor the facility's Accounts Receivable (AR) reports to ensure timely collection and resolution of outstanding balances.
• Process patient accounts based on aging, balance amounts, and collection priorities.
• Review account notes and payment histories to determine whether special payment arrangements are in place.
• Work directly with patients to establish payment plans in accordance with company policies.
• Implement approved payment arrangements and refer special requests to the Business Office Manager for review and approval.
• Advise the Business Office Manager of patient balances exceeding 90 days without payment.
• Mail collection letters and account notifications to patients as necessary.
• Accurately document all verbal and written patient communications within the billing system.
• Respond to patient inquiries regarding account balances, billing questions, payment options, and account status in a professional and courteous manner.

• Contact insurance companies regarding payment discrepancies, denied claims, underpayments, and outstanding balances.
• Follow up with insurance carriers on delinquent accounts and unresolved claims.
• Run weekly reports on outstanding insurance accounts receivable.
• Contact insurance companies to determine the status of all accounts over 45 days old, or as required by state prompt-payment regulations.
• Submit supporting documentation requested by insurance companies to assist with claim resolution.
• Document all insurance-related communications and account activity within the billing system.
• Provide monthly reports to the Business Office Manager regarding claims outstanding for more than 90 days.
• Maintain Accounts Receivable balances within established center goals and performance standards.

• Manage relationships with collection agencies and serve as the primary point of contact regarding assigned accounts.
• Prepare and submit eligible accounts to collection agencies for further collection efforts.
• Monitor collection agency performance to ensure accounts are handled professionally, accurately, and in compliance with applicable regulations.
• Report any discrepancies, concerns, or compliance issues involving collection agencies to the appropriate Business Operations contact.

• Maintain regular and dependable attendance.
• Attend all required training sessions, educational programs, staff meetings, and compliance updates.
• Perform additional duties and special projects as assigned by management.

• High School Diploma or GED required.
• Previous experience in healthcare insurance verification and/or medical billing is required.
• Experience with accounts receivable, collections, insurance follow-up, or patient financial services preferred.
• Proficiency with Microsoft Word, Excel, and electronic billing systems.
• Strong organizational skills with excellent attention to detail.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Excellent customer service, communication, and problem-solving skills.

• Demonstrates strong judgment and decision-making abilities.
• Ability…