Accounts Receivable Specialist

Summary:
The A/R Specialist plays a vital role within the Business Office, focusing on the accurate and timely collection of payments from patients and third-party payers. This position is responsible for managing outstanding patient account balances, applying effective follow-up strategies, and ensuring compliance with payer requirements to minimize denials and maximize cash flow. The A/R Specialist works closely with patients, insurance companies, and internal teams to resolve billing issues, support financial goals, and contribute to a collaborative and high-performing department. Additionally, this role provides guidance and training to Business Office staff on billing updates and promotes continuous improvement in revenue cycle operations.

MINIMUM QUALIFICATIONS

• Knowledge of ICD-10, CPT, HCPC codes and UB-04 claims required.
• Expert knowledge of billing, computers, and insurance billing software programs is required.
• Strong oral and written communication skills.
• Ability to work independently and perform critical work under deadlines.
• Should be oriented and sensitive to patient needs and aware of the importance of confidentiality of patients and employees

PREFERRED QUALIFICATIONS

• Knowledge of Medicare, Medicaid and HMO contracts as well as accounts receivable collection techniques is desired.
• Advanced knowledge of Excel preferred.

Responsibilities

• Expedient and accurate posting of payments received, both electronically and manually.
• Document revenue from patient payments and insurance reimbursements (checks and EFT deposits) into cash log workbook, recording batch totals on payment receipt spreadsheet.
• Balance batches and run transaction reports, reconciling daily batch posting to actual entry in order to identify and resolve any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis.
• Meets all monthly and year-end fiscal closing deadlines as they relate to the cash application process.
• Ensure billing operations are performed in an accurate and timely manner; monitoring the revenue cycle activities, resolve any issues, and maintain aging accounts.
• Monitor claims for specific issues and resolution, communicating issues that are preventing timely and accurate billings to Business Office Director for performance improvement process; recommending future course of action based on data interpretation. When errors are indicated, or re-billing is needed, the required action will be completed timely, typically within 48 to 72 hours.
• Accomplish billing department objectives by measuring billing results against plans; evaluating and improving methods; implementing corrective actions.
• Provide data processing support to the Business Office team including entry of charges.
• Provide back up for other Business Office positions as needed.

Job Type: Full-time

Pay: $22.30 - $33.45 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: In person

Salary : $22 - $33