Accounts Receivable Specialist

We are seeking a detail-oriented Accounts Receivable Specialist with 3–4 years of experience in the medical field to join our team. The ideal candidate will have a strong background in healthcare receivables, medical billing processes, insurance follow-up, payment posting, and collections. This role requires excellent analytical skills, accuracy, and the ability to work in a fast-paced healthcare environment.

Key Responsibilities:

• Manage and monitor accounts receivable balances for medical and healthcare-related accounts.
• Follow up on outstanding insurance claims, patient balances, and denied claims in a timely manner.
• Post payments, adjustments, and refunds accurately to patient accounts.
• Research and resolve billing discrepancies, claim rejections, and payment variances.
• Communicate with insurance companies, patients, and internal departments regarding account status and payment issues.
• Reconcile accounts and prepare aging reports for management review.
• Ensure compliance with healthcare billing regulations, payer requirements, and company policies.
• Assist with month-end closing activities related to accounts receivable.
• Maintain accurate documentation of collection efforts and account updates.
• Support process improvement initiatives to enhance cash flow and reduce outstanding receivables.

Qualifications:

• Familiarity with healthcare reimbursement processes, including commercial insurance, Medicare, and Medicaid.
• Proficiency in accounting software, EMR/EHR systems, and Microsoft Excel.
• Strong attention to detail, organizational skills, and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to work independently and collaboratively within a team environment.

Preferred Qualifications:

• Experience working in a physician group, hospital, clinic, or medical billing office.
• Knowledge of medical billing, insurance claims, EOBs, denials management, and patient account collections.
• 3–4 years of accounts receivable experience in the medical or healthcare field