Accounts Receivable Specialist

Job Summary

Managing accounts receivable for VA/Tricare HB/PB billing, the full-time Accounts Receivable Insurance Specialist will ensure compliance with billing guidelines, handle collections through payer portals and phone lines, and resolve claim issues while working remotely during standard day hours.

Key responsibilities

• Timely and accurate submission of claims and appeals to health insurance carriers for various health plans
• Monitoring and resolving unpaid, rejected, and denied claims while documenting collection activities in the billing system
• Collaborating with internal departments to facilitate accurate billing and address inquiries from patients and payers

Required qualifications

• High School Diploma or GED
• Experience with VA/Tricare billing processes
• Strong ability to manage confidential information in a HIPAA-compliant manner
• Proficient in utilizing clinical applications and payer websites for claims processing
• Ability to analyze accounts and determine appropriate actions for resolution