Accounts Receivable Specialist

Job Summary

Following up on outstanding claims and accelerating cash collections, the full-time remote Accounts Receivable Specialist will manage insurance payer interactions, resolve claims issues, and document account statuses effectively.

Key responsibilities:

• Follow up and collect on assigned accounts, utilizing strategies to resolve claims and obtain payment
• Document claims and account notes in the workflow tool while assigning appropriate status codes for trend analysis
• Write appeals for denied claims and escalate issues to management as necessary

Required qualifications:

• High school diploma or equivalent; additional training in hospital insurance collections preferred
• 3-5 years of experience in insurance accounts receivable follow-up
• Knowledge of medical terminology, ICD-10, CPT, and DRG coding
• Intermediate experience with Excel
• Previous experience with California payers is preferred