Accounts Receivable Specialist

We’re looking for a detail-driven, solutions-oriented Accounts Receivable Specialist who thrives in a fast-paced healthcare reimbursement environment. This role plays a critical part in driving accurate billing, accelerating cash flow, and ensuring clean claim resolution across insurance and patient accounts.

You’ll partner closely with AR leadership to execute high-quality billing and payment processes, resolve complex reimbursement challenges, and maintain full compliance with healthcare regulations. If you enjoy digging into data, solving payer issues, and improving processes, this is an opportunity to make meaningful impact in a highly collaborative team environment.

• Accurately post EFT, ACH, credit card, live check, and insurance payments
• Reconcile EOBs to payment records and process write-offs appropriately
• Research discrepancies and ensure proper batching, scanning, and documentation
• Maintain accurate records to support clean financial reporting
• Submit timely, accurate claims across primary, secondary, and tertiary payers
• Review, correct, and resubmit rejected or denied claims
• Coordinate with outsourced billing partners to ensure proper submission
• Generate and review patient statements as needed

• Proactively follow up on unpaid or underpaid claims
• Analyze trends across payers and identify root causes of reimbursement issues
• Resolve complex billing discrepancies and communicate findings clearly to patients
• Draft appeals and successfully overturn denials through thorough research and documentation
• Support revenue cycle improvements through data-driven insights

• Ensure adherence to Medicare, commercial payer, and regulatory requirements
• Maintain compliance with CMS, OFCCP, and internal quality management standards
• Assist with year-end reporting and regulatory documentation
• Support process documentation and training initiatives within the AR team

Analytical mindset – You can interpret data, identify trends, and recommend improvements.

Strong communicator – You collaborate effectively across teams and with patients.

Technical proficiency – Comfortable working in accounting/revenue cycle systems and highly proficient in Microsoft Excel.

Organization & time management – Able to manage high volumes while maintaining accuracy.

Attention to detail – Precision matters, and you don’t miss the small things.

Problem-solving ability – You approach denials, underpayments, and workflow challenges with persistence and ownership.

• 1+ year of experience in medical billing, payment posting, claim submission, denials, or appeals
• Experience with healthcare reimbursement (Medicare and commercial payers)
• Understanding of coinsurance, deductibles, and payer calculations
• Knowledge of healthcare coding, coverage criteria, and reimbursement methodologies preferred
• College degree preferred or equivalent related experience