Accounts Receivable Specialist

Job Summary

Ensuring timely collection of outstanding healthcare insurance receivables, the full-time Accounts Receivable Specialist II will verify patient eligibility, update insurance information, and conduct research on unpaid claims while working remotely.

Key responsibilities

• Verifies patient eligibility and authorization for healthcare services through various methods, including online searches and phone calls
• Conducts research on unpaid or denied claims and secures necessary medical documentation for third-party insurance carriers
• Contacts payers to secure payment of claims and prepares appeal letters for technical appeals when necessary

Required qualifications

• High school diploma or GED
• At least two years of experience in healthcare insurance accounts receivable follow-up
• Experience with accounts receivable software and navigating payer sites for appeals and claims follow-up
• Knowledge of medical business office procedures and third-party payer billing practices
• Demonstrated ability to effectively communicate with payers and document encounters accurately