Accounts Receivable Specialist I - Remote

Work Schedule

Monday - Friday, 8:00 AM - 5:00 PM EST.

Job Responsibilities

• Review, process, and resolve denied insurance claims in accordance with established Standard Operating Procedures (SOPs).
• Research payer requirements, policies, websites, and internal systems to identify claim issues, obtain accurate billing information, and determine appropriate next steps.
• Identify denial trends and payer-related issues and communicate findings to leadership and partner teams.
• Contact insurance companies, physicians, patients, and other stakeholders to obtain required information and facilitate claim resolution.
• Manage assigned Accounts Receivable (AR) inventory and ensure aged AR is worked in accordance with established SOPs and departmental guidelines.
• Maintain accurate account documentation and records while responding to inquiries and supporting claim resolution efforts.
• Collaborate with internal teams and external partners to ensure timely and accurate account resolution.
• Meet established production and quality metrics through effective organization, time management, attention to detail, and accurate processing of denials.
• Support operational and departmental objectives while adapting to changing priorities.

Minimum Qualifications

• High school diploma or GED equivalent.
• 1+ years of experience in medical billing, healthcare revenue cycle, or a related field.

Preferred Qualifications

• Associate's degree in Accounting, Finance, Healthcare Administration, or a related field.
• Customer service, call center, or healthcare support experience.
• Experience with insurance denials management or Revenue Cycle Management (RCM).
• Experience with medical billing systems and platforms such as LCBS, LCLS, and Mobius View.

Additional Job Standards

• Strong attention to detail and accuracy.
• Effective verbal and written communication skills.
• Proficiency with Microsoft Office Suite, including Excel.
• Ability to work independently and collaboratively while demonstrating strong organizational, time management, analytical, and problem-solving skills.
• Ability to maintain confidentiality and handle sensitive financial and patient information with discretion.
• Ability to work in a remote office environment with prolonged periods of sitting and computer use.
• Regular interaction with internal departments, insurance payers, healthcare providers, patients, and external business partners.
• Ability to adapt to changing payer requirements, business needs, and departmental priorities while maintaining quality and productivity standards.