Accounts Receivable Specialist

Job Summary

To support efficient cash collections, the full-time Accounts Receivable Specialist will follow up with insurance payers on outstanding claims, resolve payment obstacles, and maintain accurate documentation while working remotely.

Key responsibilities

• Manage follow-up and collection efforts on assigned accounts, utilizing strategies to resolve claims and obtain payments
• Document and analyze claims using the 5 W's framework and escalate unpaid claims to management when necessary
• Write appeals for denied claims and maintain productivity and quality expectations related to account management

Required qualifications

• High school diploma or equivalent; additional training in hospital insurance collections is a plus
• 3-5 years of collections experience in a Hospital Business Office
• Knowledge of medical terminology, ICD-10, CPT, and DRG preferred
• Experience with direct account follow-up and/or billing processes
• Ability to work independently in a fast-paced remote environment