Accounts Receivable Specialist

Job Summary

To ensure timely adjudication and reimbursement, the full-time Accounts Receivable Specialist will manage billing submissions, follow up on claims, and communicate with various payers and patients while working remotely.

Key responsibilities:

• Reviews and processes billed claims for accuracy and submits them in accordance with regulations and payer contracts
• Follows up with payers to resolve unpaid, underpaid, denied, or rejected claims and prepares appeals as necessary
• Maintains thorough documentation of account activities and monitors claim status and denial trends

Required qualifications:

• One year of experience in Revenue Cycle/Medical billing or a related degree/certification in Healthcare Management
• Proficiency in basic computer applications, including Microsoft Excel
• High School diploma or GED preferred
• Must be at least 18 years of age