Accounts Receivable Specialist

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Job Description:

About the Role

We are seeking a detail-oriented and results-driven Accounts Receivable Specialist to accelerate account recovery, address payment denials and rejections, and maximize revenue through effective reimbursement strategies.

The ideal candidate has hands-on experience in healthcare accounts receivable, payment follow-up, and denial management, along with a solid understanding of healthcare billing processes.

Key Responsibilities

• •Examine accounts receivable aging reports and follow up on outstanding insurance claims.
• •Prepare and submit corrected claims, ensuring accuracy and compliance with payer requirements and timely filing deadlines.
• •Contact insurance carriers to check claim status, investigate payment delays, and address underpayments.
• •Resolve denied and rejected claims by researching denial reasons, preparing appeals, and following through on outstanding cases.
• •Gather supporting documentation and work with billing, coding, and clinical teams to address claim discrepancies.
• •Resolve claims held in pre-submission queues.
• •Identify recurring denial patterns and recommend process improvements to minimize future claim rejections.
• •Keep accurate records of claim follow-ups, payer communications, and resolution outcomes.
• •Adhere to applicable insurance regulations, payer guidelines, and organizational policies.

Qualifications

• •At least 2 years of experience in healthcare accounts receivable, insurance follow-up, or denial management.
• •Hands-on experience working with both commercial and governmental payers.
• •Knowledge of corrected claims, appeals, payer billing requirements, and timely filing limits.
• •Strong attention to detail and organizational skills.
• •Excellent written and verbal communication skills.
• •Ability to investigate claim issues, prioritize outstanding accounts, and work toward timely resolution.

What We Offer

• •Competitive salary package and performance incentives
• •Comprehensive HMO Coverage
• •Early Regularization eligibility

Ready to take your healthcare billing expertise to the next level? Join a dynamic team, make an impact, and grow your career!

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