Accounts Receivable Specialist

Job Summary

To support healthcare finance partners, the fully remote Accounts Receivable Specialist will manage billing, insurance follow-up, and post-payment reviews for assigned Client EMR Accounts Receivable while ensuring compliance and timely claim processing.

Key responsibilities:

• Review and submit initial claims for accuracy and completeness, ensuring compliance with timely filing criteria
• Contact health plans to determine claim status and document all follow-up actions in the account notes
• Research and validate paid claims, resolve technical issues, and prepare appeals for denied claims as necessary

Required qualifications:

• High School diploma or equivalent
• 2+ years of experience in healthcare revenue cycle management
• Advanced proficiency in CPT and ICD-10 coding
• Professional-level skills in Microsoft Office products such as Excel, Word, and PowerPoint
• Ability to work independently and collaboratively in a team environment