Insurance Accounts Receivable Specialist

Job Summary

Managing complex insurance claim follow-up and resolution activities, the full-time Insurance Accounts Receivable Specialist will focus on resolving denials related to medical necessity and non-covered services while working remotely.

Key responsibilities

• Perform billing-related tasks including data entry, claim review, and accounts receivable follow-up
• Resolve complex insurance denials and manage a higher volume of work compared to Level I
• Communicate professionally with providers and stakeholders to ensure accurate claims processing

Required qualifications

• High school diploma or equivalent required
• Previous experience in a customer service or healthcare setting preferred
• Strong understanding of insurance policies, denial types, and medical terminology
• Ability to prioritize tasks and meet performance benchmarks
• Proficiency in using computer programs, including Microsoft Office